FORM 1023-EZ for TPD BOOSTER CLUB

Field Data
EIN 83-2199939
Case Number EO-2019036-000534
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TPD BOOSTER CLUB
Organization’s Mailing Address 17601 E US HWY 40
City INDEPENDENCE
State MO
ZIP 64055
Accounting period End 8
Primary contact name JAMAICA COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMAICA COLLINS
PRESIDENT
2932 OLIVE ST
KANSAS CITY MO 64109

Officer/Director/Trustee Two

MYRA THOMPSON
VP FUNDRAISING
11824 E 56TH TERRACE
KANSAS CITY MO 64133

Officer/Director/Trustee Three

HEATHER BROCK
VP PARENT RELATIONS
809 SW HILLCREST LN
BLUE SPRINGS MO 64015

Officer/Director/Trustee Four

AMY KERLEY
SECRETARY
1418 NW WOOD CREEK CIRCLE
BLUE SPRINGS MO 64015

Officer/Director/Trustee Five

JENNIFER YEO
TREASURER
2006 NW CATALPA COURT
GRAIN VALLEY MO 64029

Organization’s website TPDBOOSTER.CH2V.COM
Organization’s email TPDBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMAICA COLLINS
Signature Title PRESIDENT
Signature Date 1/18/19

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