FORM 1023-EZ for KELLIS BASEBALL BOOSTER CLUB

Field Data
EIN 27-0957224
Case Number EO-2015247-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELLIS BASEBALL BOOSTER CLUB
Organization’s Mailing Address 8990 W ORANGEWOOD AVE
City GLENDALE
State AZ
ZIP 85305
Accounting period End 12
Primary contact name MONICA J STERN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

N MICHELLE MOORE
PRESIDENT
8805 W PALMAIRE AVE
GLENDALE AZ 85305

Officer/Director/Trustee Two

CHRISTA MILLER
VICE PRESIDENT
9602 W LAS PALMARITAS DR
PEORIA AZ 85345

Officer/Director/Trustee Three

CYNTHIA WILLIAMS
DIRECTOR
9247 W VOGEL AVE
PEORIA AZ 85345

Officer/Director/Trustee Four

MICHAEL KAIGHN
DIRECTOR
9140 N 97TH DR
PEORIA AZ 85345

Organization’s website NONE
Organization’s email KELLISBASEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2009
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
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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