FORM 1023-EZ for 5678 BOOSTER CLUB

Field Data
EIN 47-4974075
Case Number EO-2015287-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 5678 BOOSTER CLUB
Organization’s Mailing Address 1032 W CAMELLIA WAY
City MUSTANG
State OK
ZIP 73064
Accounting period End 8
Primary contact name DANA PIERCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANA PIERCE
DIRECTOR OF INFORMATION
12701 SW 58TH STREET
MUSTANG OK 73064

Officer/Director/Trustee Two

DEBBIE LEISTER
DIRECTOR OF FUNDRAISING
9201 SW 25TH STREET
OKLAHOMA CITY OK 73128

Officer/Director/Trustee Three

MICHAEL PIERCE
DIRECTOR OF OPERATIONS
12701 SW 58TH STREET
MUSTANG OK 73064

Officer/Director/Trustee Four

MARIA CANO
DIRECTOR OF FACILITIES
NORTH SPRING DRIGE
OKLAHOMA CITY OK 73127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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