FORM 1023-EZ for KENOSHA ORCHESTRA BOOSTERS INC

Field Data
EIN 39-1364010
Case Number EO-2015069-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENOSHA ORCHESTRA BOOSTERS INC
Organization’s Mailing Address 4389 123RD STREET
City PLEASANT PRAIRIE
State WI
ZIP 53158
Accounting period End 5
Primary contact name LACY PEARL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMMY FLORES
PRESIDENT
7833 16TH AVENUE
KENOSHA WI 53143

Officer/Director/Trustee Two

LACY PEARL
VICE PRESIDENT
4389 123RD STREET
PLEASANT PRAIRIE WI 53158

Officer/Director/Trustee Three

LACY PEARL
TREASURER
4389 123RD STREET
PLEASANT PRAIRIE WI 53158

Officer/Director/Trustee Four

ELIZABETH CARLSON
SECRETARY
1429 42ND AVENUE
KENOSHA WI 53144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/1982
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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