FORM 1023-EZ for CVHS ROAR BOOSTER CLUB

Field Data
EIN 83-3121917
Case Number EO-2019098-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CVHS ROAR BOOSTER CLUB
Organization’s Mailing Address 494
City LITCHFIELD PARK
State AZ
ZIP 85340-494
Accounting period End 5
Primary contact name KATHY COSTELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIA JEWELL
PRESIDENT
PO BOX 494
LITCHFIELD PARK AZ 85340-494

Officer/Director/Trustee Two

KATHY COSTELLO
TREASURER
PO BOX 494
LITCHFIELD PARK AZ 85340-494

Officer/Director/Trustee Three

JANISE ENCINAS
VICE PRESIDENT
PO BOX 494
LITCHFIELD PARK AZ 85340-494

Officer/Director/Trustee Four

JENNIFER HOELZEL
SECRETARY
PO BOX 494
LITCHFIELD PARK AZ 85340-494

Organization’s website
Organization’s email CVHSROARBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 KATHY COSTELLO
Signature Title TREASURER
Signature Date 4/4/19

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