FORM 1023-EZ for RIVERSIDE NC-943 BOOSTER CLUB

Field Data
EIN 13-4210572
Case Number EO-2014324-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE NC-943 BOOSTER CLUB
Organization’s Mailing Address 3218 ROSE OF SHARON RD SUITE ROTC
City DURHAM
State NC
ZIP 27712
Accounting period End 5
Primary contact name MARY BETH HAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN WINNIE
PRESIDENT
4421 BRACADA DRIVE
DURHAM NC 27705

Officer/Director/Trustee Two

TONYA APONTE
VICE PRESIDENT
1322-A MARNE AVENUE
DURHAM NC 27704

Officer/Director/Trustee Three

MARY BETH HAWKINS
TREASURER
28 EAGLE DRIVE
DURHAM NC 27712

Organization’s website HTTP://WWW.RHSNC943.WEBS.COM/
Organization’s email RHSAFJROTCBOOSTERCLUB2014@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2003
Organization Incorporation State NC
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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