FORM 1023-EZ for LYNN LUCAS BOYS ATHLETIC BOOSTER CLUB

Field Data
EIN 84-2973357
Case Number EO-2019277-000553
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYNN LUCAS BOYS ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 1304
City WILLIS
State TX
ZIP 77378
Accounting period End 7
Primary contact name NIKITA LAGWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKITA LAGWAY
PRESIDENT
204 MILL ST
WILLIS TX 77378

Officer/Director/Trustee Two

MIKE KEO
VICE PRESIDENT
13264 HIDDEN TRAIL COURT
WILLIS TX 77378

Officer/Director/Trustee Three

BRAD DUTON
TREASURER
5516 MANDY LN
WILLIS TX 77378

Officer/Director/Trustee Four

STEPHANIE MOORE
SECRETARY
11617 VISTAWOOD ST
WILLIS TX 77318

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/19
Organization Incorporation State TX
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: Yes
Educational: Yes
Scientific: Yes
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 NIKITA LAGWAY
Signature Title PRESIDENT
Signature Date 10/1/19

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