FORM 1023-EZ for PIEDMONT ATHLETIC BOOSTER CLUB INC

Field Data
EIN 20-3810250
Case Number EO-2016267-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIEDMONT ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address 576 US HWY 278 BYPASS E
City PIEDMONT
State AL
ZIP 36272-1460
Accounting period End 12
Primary contact name RON FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE PODY
PRESIDENT
1625 COUNTY ROAD 33
PIEDMONT AL 36272

Officer/Director/Trustee Two

BRUCE ADDERHOLD
TREASURER
700 HILL AVE
PIEDMONT AL 36272

Officer/Director/Trustee Three

SHANNON CHASTEEN
SECRETARY
4841 COUNTY ROAD 8
PIEDMONT AL 36272

Organization’s website
Organization’s email RSBI@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/1998
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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