FORM 1023-EZ for MADISON SOUTHERN FOOTBALL BOOSTERS

Field Data
EIN 46-3137262
Case Number EO-2018059-000107
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADISON SOUTHERN FOOTBALL BOOSTERS
Organization’s Mailing Address 125 CLAY DRIVE STE 125
City BEREA
State KY
ZIP 40403
Accounting period End 6
Primary contact name STEPHEN E DAVIS EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALVIN CREECH
EXEC DIR/BOARD OF DIR
279 GLADES ROAD
BEREA KY 40403

Officer/Director/Trustee Two

DAVID GILLIAM
DIRECTOR
279 GLADES ROAD
BEREA KY 40403

Officer/Director/Trustee Three

BILL LAKE
DIRECTOR
279 GLADES ROAD
BEREA KY 40403

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/13
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R11 - Single Organization Support
Organization’s purpose Charitable: No
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 Yes
Correctness Declaration Yes
Signature Name CALVIN CREECH
Signature Title EXEC DIR/BOARD OF DIR
Signature Date 2/24/18

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