FORM 1023-EZ for COLLINS HIGH SCHOOL ROBOTICS ENGINEERING BOOSTER CLUB INC

Field Data
EIN 81-4656566
Case Number EO-2017030-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLINS HIGH SCHOOL ROBOTICS ENGINEERING BOOSTER CLUB INC
Organization’s Mailing Address 801 DISCOVERY BLVD
City SHELBYVILLE
State KY
ZIP 40065-9815
Accounting period End 6
Primary contact name KIMBERLY MUNSTERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH EMBRY
PRESIDENT
3401 CHARLESTON WAY
SHELBYVILLE KY 40065-8334

Officer/Director/Trustee Two

KIMBERLY MUNSTERMAN
TREASURER
2765 BRASSFIELD CIR
SHELBYVILLE KY 40065-9056

Officer/Director/Trustee Three

EMILY MCFALL
VICE PRESIDENT
414 OLD VEECHDALE RD
SIMPSONVILLE KY 40067-6632

Officer/Director/Trustee Four

KRISTIE ELDRIDGE
SECRETARY
185 LINCOLN STATION DR
SIMPSONVILLE KY 40067-5409

Organization’s website
Organization’s email MUNSTERMANS@TWC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2016
Organization Incorporation State KY
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: Yes
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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