FORM 1023-EZ for PEA RIDGE BAND BOOSTERS

Field Data
EIN 58-1901685
Case Number EO-2016076-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEA RIDGE BAND BOOSTERS
Organization’s Mailing Address 781 WEST PICKENS ROAD
City PEA RIDGE
State AR
ZIP 72751-2519
Accounting period End 6
Primary contact name MATT MCCOOL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERICA KIELY
PRESIDENT
17057 NORTH HWY 94
PEA RIDGE AR 72751

Officer/Director/Trustee Two

LYNETTE SUNDERMAN
VICE PRESIDENT
14282 MARIANO ROAD
BENTONVILLE AR 72712-8873

Officer/Director/Trustee Three

MICHELLE BURWELL
SECRETARY
280 BENTON DRIVE
PEA RIDGE AR 72751

Officer/Director/Trustee Four

BARBARA HUMPHREY
TREASURER
910 TODD CIRCLE
PEA RIDGE AR 72751-2929

Officer/Director/Trustee Five

RAY BURWELL
HIGH SCHOOL REPRESENTATIVE
280 BENTON DRIVE
PEA RIDGE AR 72751

Organization’s website
Organization’s email PEA.RIDGE.BAND@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State AR
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: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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