FORM 1023-EZ for CYPRESS LAKE HIGH SCHOOL ATHLETIC BOOSTER CLUB INC

Field Data
EIN 20-8404212
Case Number EO-2019233-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CYPRESS LAKE HIGH SCHOOL ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address 6750 PANTHER LANE
City FORT MYERS
State FL
ZIP 33919
Accounting period End 6
Primary contact name KELLY HAYMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN PIERCE
PRESIDENT
6750 PANTHER LANE
FORT MYERS FL 33919

Officer/Director/Trustee Two

LAUREN ROBBINS
VICE PRESIDENT
6750 PANTHER LANE
FORT MYERS FL 33919

Officer/Director/Trustee Three

KELLY HAYMAN
TREASURER
6750 PANTHER LANE
FORT MYERS FL 33919

Officer/Director/Trustee Four

BETTY RODRIGUEZ
ATHLETIC DIRECTOR
6750 PANTHER LANE
FORT MYERS FL 33919

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/07
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 KELLY HAYMAN
Signature Title TREASURER
Signature Date 8/19/19

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