FORM 1023-EZ for AMHS LADY RAMS BOOSTER CLUB

Field Data
EIN 83-2382462
Case Number EO-2018341-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMHS LADY RAMS BOOSTER CLUB
Organization’s Mailing Address 6610 BROWNS MILL ROAD
City LITHONIA
State GA
ZIP 30038
Accounting period End 7
Primary contact name KENNETH MIDDLEBROOKS - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH MIDDLEBROOKS
PRESIDENT
6610 BROWNS MILL ROAD
LITHONIA GA 30038

Officer/Director/Trustee Two

LASONYA BERRY
SECRETARY
6610 BROWNS MILL ROAD
LITHONIA GA 30038

Officer/Director/Trustee Three

SHANTAY GILES
VICE PRESIDENT
6610 BROWNS MILL ROAD
LITHONIA GA 30038

Officer/Director/Trustee Four

DEIRDRE MCNARY
CO-TREASURER
6610 BROWNS MILL ROAD
LITHONIA GA 30038

Officer/Director/Trustee Five

CHANSITY ALLEN
CO-TREASURER
6610 BROWNS MILL ROAD
LITHONIA GA 30038

Organization’s website
Organization’s email D30391@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEIRDRE MCNARY
Signature Title CO-TREASURER
Signature Date 12/5/18

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