FORM 1023-EZ for SCOTLAND HIGH SCHOOL ATHLETIC BOOSTER CLUB INC

Field Data
EIN 47-4632249
Case Number EO-2015272-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCOTLAND HIGH SCHOOL ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address PO BOX 725
City LAURINBURG
State NC
ZIP 28353
Accounting period End 6
Primary contact name DAVID P BREEDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGORY BROOKS BAINES
DIRECTOR
1209 DOGWOOD LANE
LAURINBURG NC 28352

Officer/Director/Trustee Two

CHRISTOPHER SCOTT COLE
DIRECTOR
11320 LOCH LOMOND DRIVE
LAURINBURG NC 28352

Officer/Director/Trustee Three

KENNETH WAYNE NICHOLS
DIRECTOR
13420 WESLEYAN DRIVE
LAURINBURG NC 28352

Officer/Director/Trustee Four

CHARLES BRIAN BOUNDS
DIRECTOR
8121 SCOTCH MEADOWS DRIVE
LAURINBURG NC 28352

Officer/Director/Trustee Five

JUSTIN MICHAEL MCNICKLE
DIRECTOR
13340 BLUES FARM ROAD
LAURINBURG NC 28352

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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
Signature Title
Signature Date

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