FORM 1023-EZ for MAIDEN HIGH SCHOOL MUSIC BOOSTERS

Field Data
EIN 90-0525901
Case Number EO-2014314-000050
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAIDEN HIGH SCHOOL MUSIC BOOSTERS
Organization’s Mailing Address POST OFFICE BOX 648
City MAIDEN
State NC
ZIP 28650-0648
Accounting period End 6
Primary contact name TIMOTHY KOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY KOCH
PRESIDENT
4179 DAVIS ROAD
MAIDEN NC 28650

Officer/Director/Trustee Two

JENNIFER KOCH
CO-TREASURER
4179 DAVIS ROAD
MAIDEN NC 28650

Officer/Director/Trustee Three

JULIE TEMPLE
CO-TREQASURER
3000 SANDY FORD ROAD
NEWTON NC 28658

Officer/Director/Trustee Four

WENDY BROWN
VICE PRESIDENT
2235 COLUMBINE DRIVE
NEWTON NC 28658

Officer/Director/Trustee Five

LYNETTE ROBERTS
SECRETARY
2511 BUD ARNDT ROAD
MAIDEN NC 28650

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/1990
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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