FORM 1023-EZ for DCMSVB BOOSTER CLUB

Field Data
EIN 81-2532475
Case Number EO-2019140-000492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DCMSVB BOOSTER CLUB
Organization’s Mailing Address 6431 SHENANDOAH LANE
City OLIVE BRANCH
State MS
ZIP 38654
Accounting period End 5
Primary contact name HEATHER FAIRLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL YOUNG
PRESIDENT
6220 MORGAN DRIVE
OLIVE BRANCH MS 38654

Officer/Director/Trustee Two

MELISSA SUTHERLEN
VICE PRESIDENT
3523 MONTYS CIRCLE
SOUTHAVEN MS 38672

Officer/Director/Trustee Three

NICHOLE DENTON
SECRETARY
5719 SAVANNAH PARKWAY
SOUTHAVEN MS 38672

Officer/Director/Trustee Four

MELANIE BRADLEY
CO-TREASURER
624 BARRYMORE COVE
SOUTHAVEN MS 38672

Officer/Director/Trustee Five

HEATHER FAIRLEY
CO-TREASURER
6431 SHENANDOAH LANE
OLIVE BRANCH MS 38654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State MS
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: 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 HEATHER FAIRLEY
Signature Title CO-TREASURER
Signature Date 5/18/19

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