FORM 1023-EZ for WESTERN STEM ROBOTICS AND SOLAR TECH BOOSTER CLUB INC

Field Data
EIN 47-2448622
Case Number EO-2015013-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN STEM ROBOTICS AND SOLAR TECH BOOSTER CLUB INC
Organization’s Mailing Address 3086 PERRIWINKLE CIRCLE
City DAVIE
State FL
ZIP 33328-6701
Accounting period End 6
Primary contact name HUGH KEOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HUGH KEOUGH
VICE PRESIDENT
3086 PERRIWINKLE CIRCLE
Davie FL 33328-6701

Officer/Director/Trustee Two

CARLOS BREA
PRESIDENT
1341 WHITE STONE WAY
Davie FL 33325

Officer/Director/Trustee Three

ANNETTE VILLANUEVA
TREASURER
15806 EAST WIND CIRCLE
SUNRISE FL 33326

Officer/Director/Trustee Four

LORI HERSEY
SECRETARY
13901 SW 31ST STREET
DAVIE FL 33330

Officer/Director/Trustee Five

WILLIAM DEAN
DIRECTOR
15013 SW 10TH STREET
SUNRISE FL 33326

Organization’s website
Organization’s email HKEOLAW1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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