FORM 1023-EZ for SHERIDANT ROTC BOOSTER CLUB

Field Data
EIN 83-3943488
Case Number EO-2019192-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHERIDANT ROTC BOOSTER CLUB
Organization’s Mailing Address 700 WEST VINE
City SHERIDAN
State AR
ZIP 72150
Accounting period End 9
Primary contact name ROBERT BARRENTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BARRENTINE
PRESIDENT
111 N ROSE STREET
SHERIDAN AR 72150

Officer/Director/Trustee Two

TONIA BREWER
VICE-PRESIDENT
153 CROY LANE
REDFIELD AR 72132

Officer/Director/Trustee Three

REBECCA THOMAS
SECRETARY
13 GRANT 455
PRATTSVILLE AR 72129

Officer/Director/Trustee Four

LEIGH DUGAN
TREASURER
6714 HWY 167 SOUTH
SHERIDAN AR 72150

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
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 ROBERT BARRENTINE
Signature Title PRESIDENT
Signature Date 7/9/19

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