FORM 1023-EZ for SOUTHERN CLOUD BOOSTER CLUB

Field Data
EIN 81-2767964
Case Number EO-2016308-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN CLOUD BOOSTER CLUB
Organization’s Mailing Address 307 E ELM ST
City GLASCO
State KS
ZIP 67445
Accounting period End 12
Primary contact name ANITA BOGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILEE GUMM
VICE PRESIDENT
307 N 50TH RD
GLASCO KS 67445

Officer/Director/Trustee Two

MATTHEW MARTIN
PRESIDENT
431 CREST RD
GLASCO KS 67445-9400

Officer/Director/Trustee Three

ANITA BOGNER
SECRETARY
307 E ELM ST
GLASCO KS 67445

Officer/Director/Trustee Four

SAMANTHA DAVIS
MEMBERSHIP CHAIRMAN
2125 N 88TH RD
DELPHOS KS 67436-9200

Officer/Director/Trustee Five

JAIME DARNALL
TREASURER
303 N FISHER
GLASCO KS 67445-9441

Organization’s website
Organization’s email SOUTHERNCLOUDBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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