FORM 1023-EZ for GHS BOYS BASKETBALL BOOSTER CLUB

Field Data
EIN 81-3429161
Case Number EO-2016267-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GHS BOYS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 100 HAWKS CIRCLE
City GRETNA
State VA
ZIP 24557
Accounting period End 12
Primary contact name BRIAN CHITWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOPHIA LIPFORD
BOOSTER TREASURER
3933 ROCKFORD SCHOOL ROAD
GRETNA VA 24557

Officer/Director/Trustee Two

BRIAN CHITWOOD
BOYS BASKETBALL HEAD COACH
100 HAWK CIRCLE
GRETNA VA 24557

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C11 - 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) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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