FORM 1023-EZ for PIEPER HIGH SCHOOL ATHLETIC BOOSTERCLUB

Field Data
EIN 87-1107525
Case Number EO-2021168-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIEPER HIGH SCHOOL ATHLETIC BOOSTERCLUB
Organization’s Mailing Address 5900 BALCONES DR STE 100
City AUSTIN
State TX
ZIP 78731
Accounting period End 5
Primary contact name JAMES PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES PETERSON
PRESIDENT
25812 HERMOSA VIS
SAN ANTONIO TX 78260-4447

Officer/Director/Trustee Two

KAVITA PEAVY
VICE-PRESIDENT
5900 BALCONES DR STE 100
AUSTIN TX 78731

Officer/Director/Trustee Three

TY NICKLEBERRY
VICE-PRESIDENT
5900 BALCONES DR STE 100
AUSTIN TX 78731

Officer/Director/Trustee Four

RUBEN SAUCEDO
VICE-PRESIDENT
5900 BALCONES DR STE 100
AUSTIN TX 78731

Officer/Director/Trustee Five

KELLY GLASS
SECRETARY
5900 BALCONES DR STE 100
AUSTIN TX 78731

Organization’s website
Organization’s email BUILDTHEPHSEMPIRE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 JAMES PETERSON
Signature Title PRESIDENT
Signature Date 6/15/2021

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