FORM 1023-EZ for SHS VOLLEYBALL BOOSTERS

Field Data
EIN 47-4888890
Case Number EO-2015266-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHS VOLLEYBALL BOOSTERS
Organization’s Mailing Address 1110 MAIN STREET
City HUNTINGBURG
State IN
ZIP 47542
Accounting period End 12
Primary contact name CAROLYN BREWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARI BARNETT
PRESIDENT
503 E 1ST AVENUE
HUNTINGBURG IN 47542

Officer/Director/Trustee Two

BELINDA LANGE
VICE PRESIDENT
306 E 4TH STREET
HUNTINGBURG IN 47542

Officer/Director/Trustee Three

STACY KAPPNER
SECRETARY
903 HICKORY DRIVE
HUNTINGBURG IN 47542

Officer/Director/Trustee Four

CAROLYN BREWER
TREASURER
4298 W HOLLAND ROAD E
HUNTINGBURG IN 47542

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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 Yes
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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