FORM 1023-EZ for LADY INDIANS BOOSTER CLUB

Field Data
EIN 82-0663963
Case Number EO-2020260-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LADY INDIANS BOOSTER CLUB
Organization’s Mailing Address PO BOX 276
City CAPSHAW
State AL
ZIP 35742
Accounting period End 12
Primary contact name LESLIE BREEDING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE BREEDING
PRESIDENT
12536 NANI DRIVE
MADISON AL 35756

Officer/Director/Trustee Two

CHRISTY CARWILE
SECRETARY
13215 BRADFORD ROAD
MADISON AL 35756

Officer/Director/Trustee Three

KELLY HARTLEY
TREASURER
13434 BRECKENRIDGE DRIVE
ATHENS AL 35613

Officer/Director/Trustee Four

ANGELA WORKMAN
BASKETBALL COMMISSIONER
12944 BROOKHAVEN CIRCLE
ATHENS AL 35613

Officer/Director/Trustee Five

SHEREE SMITH
VOLLEYBALL COMMISSIONER
14824 COMMONWEALTH DRIVE
ATHENS AL 35613

Organization’s website
Organization’s email KELLYAU98@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2017
Organization Incorporation State AL
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: 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 KELLY HARTLEY
Signature Title TREASURER
Signature Date 9/13/2020

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