FORM 1023-EZ for ENLOE MBSA-HOSA BOOSTER CLUB

Field Data
EIN 81-0701147
Case Number EO-2016022-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENLOE MBSA-HOSA BOOSTER CLUB
Organization’s Mailing Address 128 CLARENDON CRESCENT
City RALEIGH
State NC
ZIP 27610
Accounting period End 10
Primary contact name DEBORAH MASSENGILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH MASSENGILL
MBSA COORDINATOR
116 HUNTER COURT
FOUR OAKS NC 27524

Officer/Director/Trustee Two

MARY PARSONS
PRESIDENT
10313 BOXELDER DR
RALEIGH NC 27613

Officer/Director/Trustee Three

CYNTHIA DIMARTINO
VICE PRESIDENT
1202 BENOIT PL
APEX NC 27502

Officer/Director/Trustee Four

SANGEETA KAPOOR
TREASURER 1
7608 DEREK DR
RALEIGH NC 27613

Officer/Director/Trustee Five

ANU VIRKAR
TREASURER 2
127 DALLAVIA CT
MORRISVILLE NC 27560

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 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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