FORM 1023-EZ for LIBERTY HILL GIRLS SOCCER BOOSTER CLUB INC

Field Data
EIN 83-2315697
Case Number EO-2018299-000019
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY HILL GIRLS SOCCER BOOSTER CLUB INC
Organization’s Mailing Address 16500 STATE ROUTE 29
City LIBERTY HILL
State TX
ZIP 78642
Accounting period End 6
Primary contact name LORI ANNE BOLIEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI BOLIEK
TREASURER
217 OXBOW CV
GEORGETOWN TX 78628

Officer/Director/Trustee Two

MIKE CARTER
PRESIDENT
441 RANCHO SIENNA LOOP
GEORGETOWN TX 78628

Officer/Director/Trustee Three

ROY BUSH
VICE PRESIDENT
6825 CATERINA COVE
ROUND ROCK TX 78665

Officer/Director/Trustee Four

JULIE PARISH
SECRETARY
105 QUIET OAK COVE
LIBERTY HILL TX 78642

Organization’s website
Organization’s email LABOLIEK@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 LORI BOLIEK
Signature Title TREASURER
Signature Date 10/24/18

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