FORM 1023-EZ for LEIPSIC ATHLETIC BOOSTERS INC

Field Data
EIN 20-0949938
Case Number EO-2017272-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEIPSIC ATHLETIC BOOSTERS INC
Organization’s Mailing Address 2374 ROAD 6
City LEIPSIC
State OH
ZIP 45856
Accounting period End 12
Primary contact name JEFFREY LIFFICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY LIFFICK
SECRETARY
2933 ROAD 7
LEIPSIC OH 45856

Officer/Director/Trustee Two

DOUGLAS MANGAS
PRESIDENT
2374 ROAD 6
LEIPSIC OH 45856

Officer/Director/Trustee Three

RANDAL SIEFKER
TREASURER
6540 ROAD 5-F
LEIPSIC OH 45856

Officer/Director/Trustee Four

TREVOR SCHROEDER
VICE-PRESIDENT
415 EAST MAIN STREET
LEIPSIC OH 45856

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2004
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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