FORM 1023-EZ for BEN BOLT PALITO BLANCO ATHLETIC BOOSTER CLUB

Field Data
EIN 47-4809380
Case Number EO-2015322-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEN BOLT PALITO BLANCO ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 214 SOUTH COUNTY ROAD 470
City ALICE
State TX
ZIP 78332
Accounting period End 5
Primary contact name ANDREA GARCIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA GARCIA
TREASURER
214 SOUTH COUNTY ROAD 470
ALICE TX 78332

Officer/Director/Trustee Two

MARK ALANIZ
PRESIDENT
820 GRACE
PREMONT TX 78375

Officer/Director/Trustee Three

FRANCHESCA ADAMS
SECRETARY
340 COUNTY ROAD 471
ALICE TX 78332

Officer/Director/Trustee Four

JESSICA MEDINA
PARLEMENTARIAN
537 COUNTY ROAD 465
ALICE TX 78332

Organization’s website
Organization’s email BBPBBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2015
Organization Incorporation State TX
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: 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 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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