FORM 1023-EZ for POINT PLEASANT HIGH BASKETBALL BOOSTERS

Field Data
EIN 45-3386843
Case Number EO-2016230-000369
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POINT PLEASANT HIGH BASKETBALL BOOSTERS
Organization’s Mailing Address 280 SCENIC DRIVE
City POINT PLEASANT
State WV
ZIP 25550
Accounting period End 5
Primary contact name CARRIE PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARA FETTY
PRESIDENT
1093 POPLAR HEIGHTS ROAD
POINT PLEASANT WV 25550

Officer/Director/Trustee Two

TIFFANY COBB
VICE-PRESIDENT
15353 HUNTINGTON ROAD
GALLIPOLIS FERRY WV 25515

Officer/Director/Trustee Three

JAYNA LOWERY
SECRETARY
294 BLACKBIRD DRIVE
ASHTON WV 25503

Officer/Director/Trustee Four

CARRIE PAYNE
TREASURER
280 HOBERT DRIVE
APPLE GROVE WV 25502

Organization’s website N/A
Organization’s email CAPAYNE1974@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2012
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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