FORM 1023-EZ for SOUTHERN LOCAL BAND BOOSTERS

Field Data
EIN 51-0497039
Case Number EO-2017209-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN LOCAL BAND BOOSTERS
Organization’s Mailing Address P O BOX 722
City RACINE
State OH
ZIP 45771
Accounting period End 12
Primary contact name MARY BRADBURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD DODSON
BAND DIRECTOR
308 PAGE STREET
MIDDLEPORT OH 45760

Officer/Director/Trustee Two

MARY BYER-HILL
PRESIDENT
P O BOX 855
RACINE OH 45771

Officer/Director/Trustee Three

KRISTY GREENLEE
VICE PRESIDENT
31859 PLEASANT VIEW RD
RACINE OH 45771

Officer/Director/Trustee Four

LORI THEISS
SECRETARY
P O BOX 454
RACINE OH 45771

Officer/Director/Trustee Five

MARY BRADBURY
TREASURER
34164 SR 7
POMEROY OH 45769

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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