FORM 1023-EZ for 703 AMXS HEAVY METAL BOOSTER CLUB

Field Data
EIN 47-3772977
Case Number EO-2017198-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 703 AMXS HEAVY METAL BOOSTER CLUB
Organization’s Mailing Address 17508 AIRLIFTER DR DEBRIEF SECTION
City JBER
State AK
ZIP 99504
Accounting period End 2
Primary contact name RYAN BARTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN BARTON
PRESIDENT
11720 BUSINESS BLVD 103
EAGLE RIVER AK 99577

Officer/Director/Trustee Two

BASHA MURCHISON
VICE PRESIDENT
510 8TH ST UNIT A
JBER AK 99505

Officer/Director/Trustee Three

TIMOTHY RUSSO
TREASURER
4703 GRAY LOOP UNIT B
JBER AK 99506

Officer/Director/Trustee Four

BLAKE PAINTER
SECRETARY
4703 W AMANDA DR
WASILLA AK 99623

Organization’s website
Organization’s email RYAN.BARTON.5@US.AF.MIL
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 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
Signature Title
Signature Date

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