FORM 1023-EZ for MITCHELL HIGH SCHOOL ATHLETIC BOOSTER CLUB

Field Data
EIN 47-5203926
Case Number EO-2015289-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MITCHELL HIGH SCHOOL ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 170074 SPRING CREEK RD
City MITCHELL
State NE
ZIP 69357
Accounting period End 12
Primary contact name MARK SPENCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK SPENCER
PRESIDENT
170074 SPRING CREEK RD
MITCHELL NE 69357

Officer/Director/Trustee Two

TEANA BRANSON
VICE PRESIDENT
1514 17TH AVENUE
MITCHELL NE 69357

Officer/Director/Trustee Three

AMIE HESSLER
TREASURER
70032 CR 13
MITCHELL NE 69357

Officer/Director/Trustee Four

JESSALYNN PETERSEN
SECRETARY
141 JEFFERSON AVE
MORRILL NE 69358

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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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