FORM 1023-EZ for VALLEY HIGH SCHOOL VARSITY FOOTBALLBOOSTER CLUB

Field Data
EIN 46-3171360
Case Number EO-2015191-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VALLEY HIGH SCHOOL VARSITY FOOTBALLBOOSTER CLUB
Organization’s Mailing Address BOX 459
City SMITHERS
State WV
ZIP 25186
Accounting period End 12
Primary contact name ELISABETH AKERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL ARMENTROUT
PRESIDENT
608 FERRY STREET
MONTGOMERY WV 25136

Officer/Director/Trustee Two

NATALIE PRITT
VICE PRESIDENT
PO BOX 132
GAULEY BRIDGE WV 25085

Officer/Director/Trustee Three

MARK HESS
TREASURER
PO BOX 29
CHARLTON HEIGHTS WV 25040

Officer/Director/Trustee Four

ELISABETH AKERS
SECRETARY
111 FORTUNA DRIVE
MOUNT CARBON WV 25139

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2013
Organization Incorporation State WV
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: 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
Signature Title
Signature Date

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