FORM 1023-EZ for JAY BAND BOOSTERS

Field Data
EIN 84-3766482
Case Number EO-2021095-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAY BAND BOOSTERS
Organization’s Mailing Address 821 N MAIN ST
City JAY
State OK
ZIP 74346
Accounting period End 11
Primary contact name AARON THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVONNE PERRYMAN-MATTHEWS
CO-PRESIDENT
2017 W CEDAR ST
JAY OK 74346

Officer/Director/Trustee Two

KATHY JEFFRIES
CO-PRESIDENT
1047 S 14TH ST
JAY OK 74346

Officer/Director/Trustee Three

NATALIE STEVENSON
SECRETARY
280 N MAIN ST
JAY OK 74346

Officer/Director/Trustee Four

DANNI BLEVINS
TREASURER
4365 COUNTY ROAD 385
EUCHA OK 74342

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2019
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHY JEFFRIES
Signature Title CO-PRESIDENT
Signature Date 3/4/2021

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