FORM 1023-EZ for HILLSBORO HIGH SCHOOL BAND BOOSTERS

Field Data
EIN 62-1248607
Case Number EO-2017320-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILLSBORO HIGH SCHOOL BAND BOOSTERS
Organization’s Mailing Address 3812 HILLSBORO PIKE
City NASHVILLE
State TN
ZIP 37215
Accounting period End 12
Primary contact name MICHELLE KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE KELLY
PRESIDENT
408 E THOMPSON LANE
NASHVILLE TN 37211

Officer/Director/Trustee Two

DEBRA DICKENS
VICE PRESIDENT
1416 SHARPE AVE
NASHVILLE TN 37206

Officer/Director/Trustee Three

JENNIFER PETROUSKE
SECRETARY
339 CHESTERFIELD AVE
NASHVILLE TN 37212

Officer/Director/Trustee Four

MARK BIXLER
TREASURER
2930 VALUX LANE
NASHVILLE TN 37204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/1985
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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