FORM 1023-EZ for COATIMUNDI MIDDLE SCHOOL BOOSTER CLUB

Field Data
EIN 46-4168497
Case Number EO-2018313-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COATIMUNDI MIDDLE SCHOOL BOOSTER CLUB
Organization’s Mailing Address 490 AVENIDA COATIMUNDI
City RIO RICO
State AZ
ZIP 85648-3412
Accounting period End 12
Primary contact name ANA HOLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELENA DE LA RIVA
PRESIDENT
622 VIA COCOSPERA
RIO RICO AZ 85648-2305

Officer/Director/Trustee Two

HONEY WILKINSON
VICE-PRESIDENT
PO BOX 4909
RIO RICO AZ 85648-4909

Officer/Director/Trustee Three

TERESA MENDOZA
TREASURER
1255 CALLE CHAPARRAL
RIO RICO AZ 85648-3900

Officer/Director/Trustee Four

ANA HOLMAN
SECRETARY
1220 AVENIDA GANDARA
RIO RICO AZ 85648-3511

Officer/Director/Trustee Five

ANGELA CONCOLINO
OFFICER
1376 CAMINO FAJA
RIO RICO AZ 85648-3740

Organization’s website
Organization’s email CTMSPBS@GMIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/14
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 ANA HOLMAN
Signature Title SECRETARY
Signature Date 11/7/18

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