FORM 1023-EZ for REVOLT CHEERLEADING BOOSTERS INC

Field Data
EIN 84-4902553
Case Number EO-2020062-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVOLT CHEERLEADING BOOSTERS INC
Organization’s Mailing Address 9566 INDUSTRIAL DRIVE
City SAINT JOHN
State IN
ZIP 46373
Accounting period End 12
Primary contact name AMI ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA MATLON
MEMBER
10012 WISTERIA LANE
SAINT JOHN IN 46373

Officer/Director/Trustee Two

JAMIE HITT
MEMBER
254 DEERTRAIL LANE
SCHERERVILLE IN 46375

Officer/Director/Trustee Three

JAMES MATLON
MEMBER
10012 WISTERIA LANE
SAINT JOHN IN 46373

Officer/Director/Trustee Four

DEREK HITT
MEMBER
254 DEERTRAIL LANE
SCHERERVILLE IN 46375

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2019
Organization Incorporation State IN
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: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA MATLON
Signature Title MEMBER
Signature Date 2/27/2020

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