FORM 1023-EZ for KETTLE RUN HIGH SCHOOL BAND BOOSTERS ASSOCIATION

Field Data
EIN 26-2383761
Case Number EO-2019301-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KETTLE RUN HIGH SCHOOL BAND BOOSTERS ASSOCIATION
Organization’s Mailing Address 3912 LAKE ASHBY COURT
City WARRENTON
State VA
ZIP 20187
Accounting period End 7
Primary contact name CLAUDIA ABLAZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA DEVERE
PRESIDENT
5148 ALLISON MARSHALL DRIVE
WARRENTON VA 20187

Officer/Director/Trustee Two

SHARON MELLON
VICE PRESIDENT
3912 LAKE ASHBY COURT
AMISSVILLE VA 20106

Officer/Director/Trustee Three

CLAUDIA ABLAZA
TREASURER
3912 LAKE ASHBY COURT
WARRENTON VA 20187

Officer/Director/Trustee Four

KERRI HAISS
SECRETARY
3912 LAKE ASHBY COURT
WARRENTON VA 20187

Officer/Director/Trustee Five

CHRISTINA HARTZ
PARLIAMENTARIAN
3912 LAKE ASHBY COURT
WARRENTON VA 20187

Organization’s website WWW.KETTLERUNBAND.ORG
Organization’s email KETTLERUNBANDBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/08
Organization Incorporation State VA
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: No
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICIA DEVERE
Signature Title PRESIDENT
Signature Date 10/24/19

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