FORM 1023-EZ for SOUTHERN HIGH SCHOOL ATHLETIC BOOSTERS

Field Data
EIN 58-2678518
Case Number EO-2017228-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN HIGH SCHOOL ATHLETIC BOOSTERS
Organization’s Mailing Address PO BOX 895
City RACINE
State OH
ZIP 45771-0895
Accounting period End 12
Primary contact name MIKE VANMETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE VANMETER
PRESIDENT
1146 COLLEGE STREET
SYRACUSE OH 45779

Officer/Director/Trustee Two

CHRISTI LISLE
TREASURER
44570 FOREST RUN ROAD
RACINE OH 45771

Officer/Director/Trustee Three

KIM GRUESER
VICE PRESIDENT
43825 BLOCK PLANT ROAD
RACINE OH 45771

Officer/Director/Trustee Four

TONI BAILEY
SECRETARY
48441 TORNADO ROAD
RACINE OH 45771

Officer/Director/Trustee Five

TRICIA MCNICKLE
MEMBER
PO BOX 362
RACINE OH 45771

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2000
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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