FORM 1023-EZ for 63 AMU BOOSTER CLUB

Field Data
EIN 82-2208718
Case Number EO-2017296-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 63 AMU BOOSTER CLUB
Organization’s Mailing Address 6798 N 143RD DR
City LUKE AFB
State AZ
ZIP 85309
Accounting period End 12
Primary contact name ERIK GARRETT OR DERRIEL MORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRIEL MORRIS
OFFICER
6798 N 143RD DR
LUKE AFB AZ 85309

Officer/Director/Trustee Two

ERIK GARRET
OFFICER
6798 N 143RD DR
LUKE AFB AZ 85309

Officer/Director/Trustee Three

JIMMY MARES
OFFICER
6798 N 143RD DR
LUKE AFB AZ 85309

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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