FORM 1023-EZ for HHS EXECUTIVE BOOSTERS INC

Field Data
EIN 37-1989292
Case Number EO-2021089-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HHS EXECUTIVE BOOSTERS INC
Organization’s Mailing Address PO BOX 830
City HUNDRED
State WV
ZIP 26575
Accounting period End 6
Primary contact name RITA CAROL ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RITA CAROL ROBERTS
SECRETARY
281 PETTITS FLAT ROAD
LITTLETON WV 26581

Officer/Director/Trustee Two

JOYCE DARLENE WALKER
TREASURER
974 PENNSYLVANIA AVENUE
HUNDRED WV 26575

Officer/Director/Trustee Three

CARLA FLUHARTY
PRESIDENT
618 RUSH RUN ROAD
BURTON WV 26562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2020
Organization Incorporation State WV
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: 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 No
Correctness Declaration Yes
Signature Name RITA CAROL ROBERTS
Signature Title SECRETARY
Signature Date 2/9/2021

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