FORM 1023-EZ for HARVEY BAND BOOSTERS INC

Field Data
EIN 47-1582056
Case Number EO-2017258-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARVEY BAND BOOSTERS INC
Organization’s Mailing Address 200 W WALNUT AVE
City PAINESVILLE
State OH
ZIP 44077-2928
Accounting period End 6
Primary contact name AMBER MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER MARTIN
OFFICER
248 CHESTNUT ST
PAINESVILLE OH 44077

Officer/Director/Trustee Two

KELLY DICKINSON
OFFICER
851 MENTOR AVE
PAINESVILLE OH 44077

Officer/Director/Trustee Three

TERRI NICHOLS
OFFICER
131 HARTHSORN DR
PAINESVILLE OH 44077

Officer/Director/Trustee Four

RICK MONTGOMERY
OFFICER
192 CHARLOTTE ST
PAINESVILLE OH 44077

Officer/Director/Trustee Five

JEFFREY POWERS 823 HOMEWOOD DR
OFFICER
823 HOMEWOOD DR
PAINESVILLE OH 44077

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 Yes
One Third Support Gifts No
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 47-1582056
Case Number EO-2014274-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARVEY BAND BOOSTERS INC
Organization’s Mailing Address 200 WEST WALNUT AVENUE
City PAINESVILLE
State OH
ZIP 44077
Accounting period End 12
Primary contact name AMIR JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD HERENDEEN
PRESIDENT
200 WEST WALNUT AVENUE
PAINESVILLE OH 44077

Officer/Director/Trustee Two

DERRICK ABNEY
VICE PRESIDENT
200 WEST WALNUT AVENUE
PAINESVILLE OH 44077

Officer/Director/Trustee Three

JESSICA HERENDEEN
TREASURER
200 WEST WALNUT AVENUE
PAINESVILLE OH 44077

Officer/Director/Trustee Four

BARBARA BEDZYK
SECRETARY
200 WEST WALNUT AVENUE
PAINESVILLE OH 44077

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2014
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: 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 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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