FORM 1023-EZ for C E BYRD SOCCER BOOSTER CLUB

Field Data
EIN 84-2727459
Case Number EO-2019228-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name C E BYRD SOCCER BOOSTER CLUB
Organization’s Mailing Address 3201 LINE AVENUE
City SHREVEPORT
State LA
ZIP 71104
Accounting period End 12
Primary contact name JOEL GRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEL GRAHAM
PRESIDENT
10509
SHREVEPORT LA 71106

Officer/Director/Trustee Two

REX TAMPLIN
TREASURER
1236 CAPILANO DRIVE
SHREVEPORT LA 71106

Officer/Director/Trustee Three

BRITT MCMILLAN
SECRETARY
9315 STONEBRIAR CIRCLE
SHREVEPORT LA 71115

Officer/Director/Trustee Four

LISA LEVERMAN
SCHOOL SPONSOR
157 ALBANY AVE
SHREVEPORT LA 71105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JOEL GRAHAM
Signature Title PRESIDENT
Signature Date 8/14/19

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