FORM 1023-EZ for CLARKE COUNTY CHOIR BOOSTERS ASSOCIATION

Field Data
EIN 46-4083813
Case Number EO-2017088-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARKE COUNTY CHOIR BOOSTERS ASSOCIATION
Organization’s Mailing Address 627 MOSBY BLVD
City BERRYVILLE
State VA
ZIP 22611-1452
Accounting period End 6
Primary contact name JOEL SHAPIRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA MILLER
PRESIDENT
1430 OLD WINCHESTER RD
BOYCE VA 22620-1914

Officer/Director/Trustee Two

JESSICA BLIGHT
VICE-PRESIDENT
318 E FAIRFAX ST
BERRYVILLE VA 22611-1100

Officer/Director/Trustee Three

NOAH COBERLY
TREASURER
982 BERRYS FERRY RD
WHITE POST VA 22663-2701

Officer/Director/Trustee Four

APRIL BROTHERS
SECRETARY
24 BYRD AVE
BERRYVILLE VA 22611-1312

Officer/Director/Trustee Five

JOEL SHAPIRO
CHORAL DIRECTOR (EX-OFFICIO)
140 CLUBHOUSE DR SW APT 202
LEESBURG VA 20175-4230

Organization’s website HTTP://WWW.FACEBOOK.COM/CLARKECOUNTYHIGHSCHOOLCHORALDEPARTMENT
Organization’s email JOELADAMSHAPIRO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-4083813
Case Number EO-2015069-000816
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARKE COUNTY CHOIR BOOSTERS ASSOCIATION
Organization’s Mailing Address 627 MOSBY BOULEVARD
City BERRYVILLE
State VA
ZIP 22611
Accounting period End 6
Primary contact name CLIFF CANTRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLIFF CANTRELL
PRESIDENT
191 BUTLER LANE
WHITE POST VA 22663

Officer/Director/Trustee Two

KATHY BURZIO
VP
11 SWAN AVENUE
BERRYVILLE VA 22611

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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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