FORM 1023-EZ for EPR BASKETBALL BOOSTER CLUB CORP

Field Data
EIN 85-3108598
Case Number EO-2021084-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EPR BASKETBALL BOOSTER CLUB CORP
Organization’s Mailing Address 3320 EAST PAULDING DR
City DALLAS
State GA
ZIP 30157
Accounting period End 10
Primary contact name CAROLYN DUKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN DUKES
TREASURER
533 FORREST HILLS DRIVE
DALLAS GA 30157

Officer/Director/Trustee Two

FREDERICK ANDERSON
PRESIDENT
703 VALLEYSIDE DR
DALLAS GA 30157

Officer/Director/Trustee Three

SUZANNE PENGELLY
SECRETARY
106 SOUTHSHORE PASS
DALLAS GA 30157

Organization’s website
Organization’s email JCANTRELL@PAULDING.K12.GA.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROLYN DUKES
Signature Title TREASURER
Signature Date 11/17/2020

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