FORM 1023-EZ for ROSWELL HIGH SCHOOL AQUATICS BOOSTER CLUB INC

Field Data
EIN 82-2187536
Case Number EO-2017251-000377
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSWELL HIGH SCHOOL AQUATICS BOOSTER CLUB INC
Organization’s Mailing Address 11595 KING ROAD
City ROSWELL
State GA
ZIP 30075
Accounting period End 6
Primary contact name JENNY ROARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSS THOMAS
PRESIDENT
11595 KING ROAD
ROSWELL GA 30075

Officer/Director/Trustee Two

ELIZABETH TRIVELY
VICE PRESIDENT
11595 KING ROAD
ROSWELL GA 30075

Officer/Director/Trustee Three

ELIZABETH WISE
SECRETARY
11595 KING ROAD
ROSWELL GA 30075

Officer/Director/Trustee Four

JENNY ROARK
TREASURER
11595 KING ROAD
ROSWELL GA 30075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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