FORM 1023-EZ for BLACK & BLUE BOOSTER CLUB

Field Data
EIN 84-4895269
Case Number EO-2020062-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK & BLUE BOOSTER CLUB
Organization’s Mailing Address 3037 INTRACOASTAL VIEW DR
City MOUNT PLEASANT
State SC
ZIP 29466
Accounting period End 12
Primary contact name CHRISTOPOHER SWISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER SWISHER
PRESIDENT
3037 INTRACOASTAL VIEW DR
MOUNT PLEASANT SC 29466

Officer/Director/Trustee Two

JASON ASHLEY
VICE PRESIDENT
1804 HUBBELL DR
MOUNT PLEASANT SC 29466

Officer/Director/Trustee Three

BRYAN POWELL
TREASURER
2600 CROOKED STICK LN
MOUNT PLEASANT SC 29466

Officer/Director/Trustee Four

SHAHARRA BROOKS
SECRETARY
2792 RIVER VISTA WAY
MOUNT PLEASANT SC 29466

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2020
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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 CHRISTOPHER SWISHER
Signature Title PRESIDENT
Signature Date 2/27/2020

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