FORM 1023-EZ for DOVER BOOSTER CLUB INC

Field Data
EIN 83-0891403
Case Number EO-2018239-000546
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOVER BOOSTER CLUB INC
Organization’s Mailing Address PO BOX 293
City DOVER
State OK
ZIP 73734
Accounting period End 12
Primary contact name KESHIA HOLMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KESHIA HOLMES
PRESIDENT
12382 N 2900
DOVER OK 73734

Officer/Director/Trustee Two

ASHLEY HARVISTON
VICE PRESIDENT
21807 N 700 RD
DOVER OK 73734

Officer/Director/Trustee Three

LACEY WINN
SECERTARY
14554 E 715 RD
DOVER OK 73734

Officer/Director/Trustee Four

LORI FISCHER
TREASURE
9822 N 2850 RD
DOVER OK 73734

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State OK
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: 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 KESHIA HOLMES
Signature Title PRESIDENT
Signature Date 8/23/18

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