FORM 1023-EZ for RUSSELL RICHARDSON FOOTBALL BOOSTERS CLUB

Field Data
EIN 83-4467242
Case Number EO-2019113-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RUSSELL RICHARDSON FOOTBALL BOOSTERS CLUB
Organization’s Mailing Address 1785 PROCTOR CREEK ROAD
City CELINA
State TN
ZIP 38551
Accounting period End 12
Primary contact name JASON HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON HAMILTON
PRESIDENT
1100 BREYER STREET
CELINA TN 38551

Officer/Director/Trustee Two

LORISSA HOLOWAY
TREASURER
1785 PROCTOR CREEK ROAD
CELINA TN 38551

Officer/Director/Trustee Three

MARK ASHLOCK
VISE PRESIDENT
199 PUMPKIN LANE
CELINA TN 38551

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASON HAMILTON
Signature Title PRESIDENT
Signature Date 4/19/19

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