FORM 1023-EZ for CASEY COUNTY HIGH SCHOOL CHEERLEADING BOOSTERS

Field Data
EIN 47-1275626
Case Number EO-2014233-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASEY COUNTY HIGH SCHOOL CHEERLEADING BOOSTERS
Organization’s Mailing Address 1841 EAST KY 70
City LIBERTY
State KY
ZIP 42539
Accounting period End 7
Primary contact name KELLY FORBES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHANIE DURHAM
PRESIDENT
1125 GEORGE BRANCH RD
HUSTONVILLE KY 40437

Officer/Director/Trustee Two

TINA LOYALL
VICE-PRESIDENT
1281 SCOTT RD
HUSTONVILLE KY 40437

Officer/Director/Trustee Three

MANDI JONES
TREASURER
171 HAMILTON RD
YOSEMITE KY 42566

Officer/Director/Trustee Four

KRISTI DOWNS
SECRETARY
260 NAPIER ST
LIBERTY KY 42539

Officer/Director/Trustee Five

KELLY FORBES
COACH
347 SHARP HOLLOW DRIVE
LIBERTY KY 42539

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2014
Organization Incorporation State KY
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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