FORM 1023-EZ for PETERSBURG HIGH SCHOOL ATHLETIC BOOSTERS CLUB

Field Data
EIN 38-4104704
Case Number EO-2019052-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PETERSBURG HIGH SCHOOL ATHLETIC BOOSTERS CLUB
Organization’s Mailing Address 207 VIKING DRIVE
City PETERSBURG
State WV
ZIP 26847
Accounting period End 7
Primary contact name DONNA ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAPHNE MAUZY
PRESIDENT
890 HASLACKER ROAD
MAYSVILLE WV 26833

Officer/Director/Trustee Two

MARTY BERG
VICE PRESIDENT
PO BOX 42
PETERSBURG WV 26847

Officer/Director/Trustee Three

SHANNON REDMAN
SECRETARY
3025 BELLE BABB LANE
BURLINGTON WV 26710

Officer/Director/Trustee Four

JENNIFER TINGLER
TREASURER
PO BOX 936
PETERSBURG WV 26847

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/17
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 SHANNON REDMAN
Signature Title SECRETARY
Signature Date 2/19/19

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