FORM 1023-EZ for CHAMPION ATHLETICS BOOSTERS INC

Field Data
EIN 47-4481052
Case Number EO-2016126-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPION ATHLETICS BOOSTERS INC
Organization’s Mailing Address 6370 WINDSONG WAY
City NASHPORT
State OH
ZIP 43830
Accounting period End 12
Primary contact name JOELLE BICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER BOESMAN
PRESIDENT
9950 SHANNON ROAD
FRAZEYSBURG OH 43822

Officer/Director/Trustee Two

KIRSTEN PIERCE
VICE PRESIDENT
8595 RAIDERS ROAD
FRAZEYSBURG OH 43822

Officer/Director/Trustee Three

JOELLE BICE
SECRETARY/TREASURER
6370 WINDING WAY
NASHPORT OH 43830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 Yes
One Third Support Gifts No
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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