FORM 1023-EZ for MTCY BOOSTERS

Field Data
EIN 47-4789301
Case Number EO-2015272-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MTCY BOOSTERS
Organization’s Mailing Address 202 SALLEE STREET
City SOMERSET
State KY
ZIP 42501
Accounting period End 7
Primary contact name JOANN FAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATASHA BROWN
PRESIDENT
1077 SIMS RIDGE RD
KINGS MOUNTAIN KY 40442

Officer/Director/Trustee Two

JUANELLE SMITH
VICE PRESIDENT
8772 EAST HWY 90
MONTICELLO KY 42633

Officer/Director/Trustee Three

PAMELA CAMPBELL
SECRETARY
91 LOOP DRIVE
MONTICELLO KY 42633

Officer/Director/Trustee Four

JOANN FAIN
TREASURER
275 VANHOOK CT
SOMERSET KY 42503

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State KY
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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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