FORM 1023-EZ for 49TH BOOSTER CLUB

Field Data
EIN 47-3141888
Case Number EO-2016263-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 49TH BOOSTER CLUB
Organization’s Mailing Address 320 BUTLER BLVD STE 1430
City OFFUTT AFB
State NE
ZIP 68113
Accounting period End 12
Primary contact name KENNETH LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOSANNA POLICARPIO
PRESIDENT
320 BUTLER BLVD STE 1430
OFFUTT AFB NE 68113

Officer/Director/Trustee Two

MARK MUCCI
VICE PRESIDENT
320 BUTLER BLVD STE 1430
OFFUTT AFB NE 68113

Officer/Director/Trustee Three

TAMISHA LEBRANCH
SECRETARY
320 BUTLER BLVD STE 1430
OFFUTT AFB NE 68113

Officer/Director/Trustee Four

KENNETH LARSON
TREASURER
320 BUTLER BLVD STE 1430
OFFUTT AFB NE 68113

Organization’s website
Organization’s email 49IS.BOOSTERBLUB.OFFICERS@US.AF.MIL
Organization Incorporated Yes
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 W11 - Single Organization Support
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 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
Signature Title
Signature Date

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