FORM 1023-EZ for LBHS CAVALIER BAND BOOSTERS

Field Data
EIN 82-2376120
Case Number EO-2017222-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LBHS CAVALIER BAND BOOSTERS
Organization’s Mailing Address PO BOX 605
City DALEVILLE
State VA
ZIP 24083
Accounting period End 12
Primary contact name CHRISTY PRICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERYL DAVIDICK
PRESIDENT
638 WINESAP RD
ROANOKE VA 24019

Officer/Director/Trustee Two

MICHELLE ADKINS
VICE PRESIDENT
190 TARA CT
DALEVILLE VA 24083

Officer/Director/Trustee Three

CHRISTY PRICE
TREASURER
66 BOUNTY CT
ROANOKE VA 24019

Officer/Director/Trustee Four

MELISSA CALDWELL
SECRETARY
284 HILLVIEW DR
ROANOKE VA 24019

Organization’s website HTTPS://SITES.GOOGLE.COM/A/BCPS.K12.VA.US/CAVALIER-BANDS/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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