FORM 1023-EZ for GREEN ELEMENTARY BOOSTER CLUB

Field Data
EIN 84-4907748
Case Number EO-2020062-000544
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN ELEMENTARY BOOSTER CLUB
Organization’s Mailing Address 4498 CARNES ROAD
City ROSEBURG
State OR
ZIP 97471
Accounting period End 8
Primary contact name SAVANNAH HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER GARCIA
PRESIDENT
128 MAYWOOD COURT
ROSEBURG OR 97471

Officer/Director/Trustee Two

JENNY WOODEN
VICE-PRESIDENT
4498 CARNES ROAD
ROSEBURG OR 97471

Officer/Director/Trustee Three

BECKY MCKEAG
SECRETARY
536 W FIRST AVE
SUTHERLIN OR 97479

Officer/Director/Trustee Four

SAVANNAH HALL
TREASURER
674 CALLAHAN DRIVE
ROSEBURG OR 97471

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2006
Organization Incorporation State OR
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: Yes
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 SAVANNAH HALL
Signature Title TREASURER
Signature Date 2/28/2020

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