FORM 1023-EZ for KLEIN COLLINS HIGH SCHOOL MENS SOCCER BOOSTER CLUB

Field Data
EIN 20-3652639
Case Number EO-2014280-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KLEIN COLLINS HIGH SCHOOL MENS SOCCER BOOSTER CLUB
Organization’s Mailing Address 7200 SPRING CYPRESS RD
City SPRING
State TX
ZIP 77379
Accounting period End 6
Primary contact name LORI DUNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GILBERT SANTELLAN
PRESIDENT
20346 LONG CYPRESS RD
SPRING TX 77388

Officer/Director/Trustee Two

LORI DUNN
TREASURER
4015 CYPRESS LAKE DR
SPRING TX 77388

Officer/Director/Trustee Three

SCOTT BAZEMORE
VICE PRESIDENT
21814 BRIDGE END LN
SPRING TX 77388

Officer/Director/Trustee Four

HEATHER THOMLINSON
SECRETARY
3406 SHUMARD COURT
SPRING TX 77388

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2005
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
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 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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