FORM 1023-EZ for ROCKSTAR HOLLY SPRINGS BOOSTER CLUB

Field Data
EIN 81-1444376
Case Number EO-2016074-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKSTAR HOLLY SPRINGS BOOSTER CLUB
Organization’s Mailing Address 125 QUANTUM STREET
City HOLLY SPRINGS
State NC
ZIP 27540
Accounting period End 5
Primary contact name WILLIAM BLACKMON - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM BLACKMON
PRESIDENT
125 QUANTUM STREET
HOLLY SPRINGS NC 27540

Officer/Director/Trustee Two

MEREDITH TAYLOR
TREASURER
125 QUANTUM STREET
HOLLY SPRINGS NC 27540

Officer/Director/Trustee Three

MIKE WYANT
VICE-PRESIDENT
125 QUANTUM STREET
HOLLY SPRINGS NC 27540

Officer/Director/Trustee Four

ANGIE ABROMITIS
SECRATARY
125 QUANTUM STREET
HOLLY SPRINGS NC 27540

Officer/Director/Trustee Five

FAITH JUNGHAHN
MEMBER AT LARGE
125 QUANTUM STREET
HOLLY SPRINGS NC 27540

Organization’s website
Organization’s email BOOSTERCLUB@ROCKSTARHOLLYSPRINGS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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