FORM 1023-EZ for CONOTTON VALLEY ATHLETIC BOOSTER CLUB

Field Data
EIN 82-2761557
Case Number EO-2021096-001237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONOTTON VALLEY ATHLETIC BOOSTER CLUB
Organization’s Mailing Address PO BOX 169
City SHERRODSVILLE
State OH
ZIP 44675
Accounting period End 12
Primary contact name ANDREA LEGGETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA LEGGETT
PRESIDENT
246 S CHURCH ST
SHERRODSVILLE OH 44675

Officer/Director/Trustee Two

AMY RICE
TREASURER
35205 GRUNDY RIDGE RD
SCIO OH 43988

Officer/Director/Trustee Three

CHRISTINE LAMBERT
SECRETARY
87400 REED RD
UHRICHSVILLE OH 44683

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - 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 ANDREA LEGGETT
Signature Title PRESIDENT
Signature Date 3/9/2021

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