FORM 1023-EZ for FSHS POLAR BEAR FOOTBALL BOOSTERS

Field Data
EIN 84-2265767
Case Number EO-2019190-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FSHS POLAR BEAR FOOTBALL BOOSTERS
Organization’s Mailing Address 143 NORWAY LOOP ROAD
City FAIRMONT
State WV
ZIP 26554
Accounting period End 12
Primary contact name JEREMY LAIRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY LAIRD
PRESIDENT
143 NORWAY LOOP ROAD
FAIRMONT WV 26554

Officer/Director/Trustee Two

TONY STINGO
VICE PRESIDENT
143 NORWAY LOOP ROAD
FAIRMONT WV 26554

Officer/Director/Trustee Three

TERESA PITMAN
TREASURER
143 NORWAY LOOP ROAD
FAIRMONT WV 26554

Officer/Director/Trustee Four

JENNIFER GREEN
SECRETARY
143 NORWAY LOOP ROAD
FAIRMONT WV 26554

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/00
Organization Incorporation State WV
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: 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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEREMY LAIRD
Signature Title PRESIDENT
Signature Date 7/3/19

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