FORM 1023-EZ for CCHS CHEER BOOSTER CLUB INC

Field Data
EIN 83-4452365
Case Number EO-2019123-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CCHS CHEER BOOSTER CLUB INC
Organization’s Mailing Address 4791 WILSON RD
City COHUTTA
State GA
ZIP 30710
Accounting period End 12
Primary contact name SHANNON STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON STEVENS
BOOKKEEPER
160 UPPER VARNELL RD
COHUTTA GA 30710

Officer/Director/Trustee Two

STACIE BAGLEY
COACH
4791 WILSON RD
COHUTTA GA 30710

Officer/Director/Trustee Three

HOLLY POE
PRESIDENT
101 BARBARA RUTH DR NW
DALTON GA 30721

Officer/Director/Trustee Four

KAYE RALSTON
VIE PRESIDENT
1613 MEADOWLARK DR
DALTON GA 30721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLY POE
Signature Title PRESIDENT
Signature Date 5/1/19

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