FORM 1023-EZ for MERCER COUNTY LADY TITANS BASKETBALL BOOSTERS

Field Data
EIN 30-0126986
Case Number EO-2016014-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCER COUNTY LADY TITANS BASKETBALL BOOSTERS
Organization’s Mailing Address 408 OAKLEY AVENUE
City HARRODSBURG
State KY
ZIP 40330
Accounting period End 6
Primary contact name AMANDA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMANDA LEWIS
TREASURER
408 OAKLEY AVENUE
HARRRODSBURG KY 40330

Officer/Director/Trustee Two

GREG SOUDER
CO-PRESIDENT
457 BEAUMONT AVE
HARRODSBURG KY 40330

Officer/Director/Trustee Three

DEBBIE SOUDER
CO-PRESIDENT
457 BEAUMONT AVE
HARRODSBURG KY 40330

Officer/Director/Trustee Four

MARTA ROBINS
VICE PRESIDENT
730 SPARROW LANE
HAROODSBURG KY 40330

Officer/Director/Trustee Five

PAM MERCHANT
SECRETARY
587 LYNN DRIVE
HARRODSBURG KY 40330

Organization’s website
Organization’s email AWLEWIS2004@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 Yes
One Third Support Gifts No
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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