FORM 1023-EZ for MCCALLUM ARCHERY BOOSTER CLUB

Field Data
EIN 85-4135007
Case Number EO-2021026-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MCCALLUM ARCHERY BOOSTER CLUB
Organization’s Mailing Address 11800 NAVASOTA STREET
City MANOR
State TX
ZIP 78653
Accounting period End 12
Primary contact name JOANNE MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NHI LIEU
DIRECTOR
7001 RANCH ROAD
AUSTIN TX 78730

Officer/Director/Trustee Two

MARY ROSE
DIRECTOR
5601 PALISADE COURT
AUSTIN TX 78731

Officer/Director/Trustee Three

JIM DELINE
DIRECTOR
11800 NAVASOTA STREET
MANOR TX 78653

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JIM DELINE
Signature Title DIRECTOR
Signature Date 12/4/2020

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