FORM 1023-EZ for TIGER PRIDE BOOSTER CLUB INC

Field Data
EIN 45-3810961
Case Number EO-2016230-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TIGER PRIDE BOOSTER CLUB INC
Organization’s Mailing Address 3420 BURBANK AVENUE
City KINGMAN
State AZ
ZIP 86409
Accounting period End 6
Primary contact name HENRY W VARGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEIGH PITTS
PRESIDENT
2057 REX ALLEN DRIVE
KINGMAN AZ 86409

Officer/Director/Trustee Two

TONYA SMITH
VICE PRESIDENT
2558 DIAMOND SPUR STREET
KINGMAN AZ 86401

Officer/Director/Trustee Three

AMY LOWRY
SECRETARY
2198 PAWNEE DRIVE
KINGMAN AZ 86401

Officer/Director/Trustee Four

JENISE HERBINE
TREASURER
2008 DIAMOND SPUR STREET
KINGMAN AZ 86401

Officer/Director/Trustee Five

RACHEL ANDERSON
OTHER
3015 LOVIN AVENUE
KINGMAN AZ 86401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2009
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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