FORM 1023-EZ for BHS FOOTBALL 12TH MAN EAGLE CLUB

Field Data
EIN 81-3297190
Case Number EO-2019142-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BHS FOOTBALL 12TH MAN EAGLE CLUB
Organization’s Mailing Address PO BOX 7
City BOSQUE
State NM
ZIP 87006
Accounting period End 6
Primary contact name JAMES LUCERO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE BARAJAS
PRESIDENT
PO BOX 7
BOSQUE NM 87006

Officer/Director/Trustee Two

ROSEMARY CHAVEZ
VICE-PRESIDENT
1013 LEE TREVINO DR
BELEN NM 87002

Officer/Director/Trustee Three

JAMES LUCERO
TREASURER
1379 HWY 304
VEGUITA NM 87062-9703

Organization’s website
Organization’s email 12THMANEAGLESBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
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 JAMES LUCERO
Signature Title TREASURER
Signature Date 5/20/19

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