FORM 1023-EZ for EAST JACKSON YOUTH BOOSTERS

Field Data
EIN 47-4390196
Case Number EO-2018256-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAST JACKSON YOUTH BOOSTERS
Organization’s Mailing Address 1566 N SUTTON ROAD
City JACKSON
State MI
ZIP 49202
Accounting period End 12
Primary contact name JENNY PELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNY PELTON
PRESIDENT
308 N PLEASANT
JACKSON MI 49202

Officer/Director/Trustee Two

MISTI BELL
VICE PRESIDENT
431 DALTON
JACKSON MI 49201

Officer/Director/Trustee Three

LYNDELL KERLEY
SECRETARY
3325 HAWKINS ROAD
JACKSON MI 49201

Officer/Director/Trustee Four

CARLEY DINGEE
TREASURER
4109 CLARKWAY
JACKSON MI 49201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 JENNY PELTON
Signature Title PRESIDENT
Signature Date 9/11/18

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