FORM 1023-EZ for SOUTH PHOENIX COMMUNITY BOOSTER CLUB

Field Data
EIN 81-4025976
Case Number EO-2020006-000628
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH PHOENIX COMMUNITY BOOSTER CLUB
Organization’s Mailing Address 5401 S 7TH STREET
City PHOENIX
State AZ
ZIP 85040
Accounting period End 6
Primary contact name DWAYNE EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAYNE EVANS
DIRECTOR
5401 S 7TH STREET
PHOENIX AZ 85040

Officer/Director/Trustee Two

DELBERT HODGE
PRESIDENT
PO BOX 91291
PHOENIX AZ 85066

Officer/Director/Trustee Three

SHAWN LAMB
SECRETARY
PO BOX 91291
PHOENIX AZ 85066

Officer/Director/Trustee Four

RUBY DIRKS
TREASURER
PO BOX 91291
PHOENIX AZ 85066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DWAYNE EVANS
Signature Title DIRECTOR
Signature Date 1/4/2020

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