FORM 1023-EZ for TUCKER HIGH SCHOOL SOCCER BOOSTERSCLUB INC

Field Data
EIN 83-1028023
Case Number EO-2018235-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TUCKER HIGH SCHOOL SOCCER BOOSTERSCLUB INC
Organization’s Mailing Address TUCKER HIGH SCHOOL 5036 LAVISTA RD
City TUCKER
State GA
ZIP 30084-3500
Accounting period End 6
Primary contact name PATRECE KEETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIRK HAYNES
PRESIDENT
5780 SOUTHLAND WALK
STONE MOUNTAIN GA 30087-5292

Officer/Director/Trustee Two

PATRECE KEETER
TREASURER
4444 LAKE IVANHOE DR
TUCKER GA 30084-2727

Officer/Director/Trustee Three

LISA OWEN
SECRETARY
3622 PRINCE WAY
TUCKER GA 30084-8317

Officer/Director/Trustee Four

DON CIRCINO
VICE PRESIDENT
4327 TUCKER NORTH CT
TUCKER GA 30084-3625

Officer/Director/Trustee Five

DENNIS LIPPY
BOARD MEMBER
4105 ADRIAN ST
TUCKER GA 30084-4407

Organization’s website TUCKERHSSOCCER.WEEBLY.COM
Organization’s email TUCKERHSSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/16
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 PATRECE KEETER
Signature Title TREASURER
Signature Date 8/21/18
EIN 83-1028023
Case Number EO-2018235-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TUCKER HIGH SCHOOL SOCCER BOOSTERS CLUB INC
Organization’s Mailing Address TUCKER HIGH SCHOOL 5036 LAVISTA RD
City TUCKER
State GA
ZIP 30084-3500
Accounting period End 6
Primary contact name PATRECE KEETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIRK HAYNES
PRESIDENT
5780 SOUTHLAND WALK
STONE MOUNTAIN GA 30087-5292

Officer/Director/Trustee Two

PATRECE KEETER
TREASURER
4444 LAKE IVANHOE DR
TUCKER GA 30084-2727

Officer/Director/Trustee Three

LISA OWEN
SECRETARY
3622 PRINCE WAY
TUCKER GA 30084-8317

Officer/Director/Trustee Four

DON CIRCINO
VICE PRESIDENT
4327 TUCKER NORTH CT
TUCKER GA 30084-3625

Officer/Director/Trustee Five

DENNIS LIPPY
BOARD MEMBER
4105 ADRIAN ST
TUCKER GA 30084-4407

Organization’s website TUCKERHSSOCCER.WEEBLY.COM
Organization’s email TUCKERHSSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/16
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 PATRECE KEETER
Signature Title TREASURER
Signature Date 8/21/18

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