FORM 1023-EZ for MELBOURNE HIGH SCHOOL IB BOOSTER CLUB

Field Data
EIN 47-5374687
Case Number EO-2015296-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MELBOURNE HIGH SCHOOL IB BOOSTER CLUB
Organization’s Mailing Address 74 BULLDOG BOULEVARD
City MELBOURNE
State FL
ZIP 32901-3151
Accounting period End 12
Primary contact name JACQUELINE DITTMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE DITTMORE
PRESIDENT
2331 BROOKSHIRE CIRCLE
WEST MELBOURNE FL 32904-6635

Officer/Director/Trustee Two

CYNTHIA DITTMER
VICE-PRESIDENT
2503 CANARY ISLES DRIVE
MELBOURNE FL 32901-6820

Officer/Director/Trustee Three

NICOLE EWART
TREASURER
1175 WHITE OAK CIRCLE
MELBOURNE FL 32934-7286

Officer/Director/Trustee Four

KAREN MARTINEZ
SECRETARY
2701 BRADFORDT DRIVE
WEST MELBOURNE FL 32904-7324

Organization’s website
Organization’s email MHS.IBBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 Yes
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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