FORM 1023-EZ for HIGHLAND COUGAR BASKETBALL BOOSTERSINC

Field Data
EIN 83-1420866
Case Number EO-2018218-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGHLAND COUGAR BASKETBALL BOOSTERSINC
Organization’s Mailing Address 25441 HERITAGE AVE
City LEWISTOWN
State MO
ZIP 63452
Accounting period End 12
Primary contact name BOBBI CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN KOCH
PRESIDENT
25441 HERITAGE AVE
LEWISTOWN MO 63452

Officer/Director/Trustee Two

DOUG MALLETT
SECRETARY
502 WYACONDA ST PO BOX 156
LA GRANGE MO 63448

Officer/Director/Trustee Three

DANIEL GOEHL
TREASURER
30182 PEAR ST
CANTON MO 63435

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State MO
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: Yes
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 DANIEL GOEHL
Signature Title TREASURER
Signature Date 8/1/18

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