FORM 1023-EZ for DHS TENNIS BOOSTER CLUB INC

Field Data
EIN 20-2290687
Case Number EO-2016271-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DHS TENNIS BOOSTER CLUB INC
Organization’s Mailing Address 5035 VERMACK ROAD
City DUNWOODY
State GA
ZIP 30338
Accounting period End 12
Primary contact name THOMAS BYNUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE MOUSSOURI
PRESIDENT
1793 WOMACK ROAD
DUNWOODY GA 30338

Officer/Director/Trustee Two

SARAH BORCHERDING
VICE PRESIDENT
4930 HEATHERDALE LANE
DUNWOODY GA 30360

Officer/Director/Trustee Three

THOMAS BYNUM
TREASURER
5628 BEND CREEK ROAD
DUNWOODY GA 30338

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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