FORM 1023-EZ for BETHEL ATHLETIC BOOSTERS

Field Data
EIN 61-1746630
Case Number EO-2014307-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETHEL ATHLETIC BOOSTERS
Organization’s Mailing Address PO BOX 84
City NEW CARLISLE
State OH
ZIP 45344
Accounting period End 12
Primary contact name CHAD D HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD BIRD
PRESIDENT
8767 S PALMER ROAD
NEW CARLISLE OH 45344

Officer/Director/Trustee Two

GAIL ALLEN
VICE PRESIDENT
4355 DAYTON BRANDT ROAD
NEW CARLISLE OH 45344

Officer/Director/Trustee Three

AMY HARDERT
SECRETARY
1398 SENNA STREET
TIPP CITY OH 45371

Officer/Director/Trustee Four

JAN BURROWES
TREASURER
9351 BELLE FOUNTAINE ROAD
NEW CARLISLE OH 45344

Organization’s website WWW.BETHEL.K12.OH.US/ATHLETICBOOSTERS
Organization’s email BETHELATHLETICBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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