FORM 1023-EZ for PICKENS FOOTBALL BOOSTER CLUB INC

Field Data
EIN 86-3013507
Case Number EO-2021155-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PICKENS FOOTBALL BOOSTER CLUB INC
Organization’s Mailing Address 158 WEST CHURCH STREET
City JASPER
State GA
ZIP 30143
Accounting period End 12
Primary contact name SHERYL MESSNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT POWELL
VICE-PRESIDENT
73 PAUL CIRCLE
JASPER GA 30143

Officer/Director/Trustee Two

JASON HOLLAND
PRESIDENT
370 BRADLEY ROAD
TALKING ROCK GA 30175

Officer/Director/Trustee Three

SHERYL MESSNER
TREASURER
158 WEST CHURCH STREET
JASPER GA 30143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - 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 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 SHERYL MESSNER
Signature Title TREASURER
Signature Date 6/2/2021

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