FORM 1023-EZ for PHS LADY PANTHERS BOOSTER CLUB

Field Data
EIN 85-2155939
Case Number EO-2021098-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHS LADY PANTHERS BOOSTER CLUB
Organization’s Mailing Address 5386 BLUEBELL DR
City BOSSIER CITY
State LA
ZIP 71112
Accounting period End 12
Primary contact name DESIREE JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MINDY DUPRE
PRESIDENT
2590 MAYFLOWER RD
HAUGHTON LA 71112

Officer/Director/Trustee Two

STEPHEN GARLINGTON
VICE-PRESIDENT
520 ANTIETAM
BOSSIER CITY LA 71112

Officer/Director/Trustee Three

NORMA CHAVEZ
SECRETARY
2590 MAYFLOWER RD
BOSSIER CITY LA 71112

Officer/Director/Trustee Four

DESIREE JACKSON
TREASURER
5386 BLUEBELL DR
BOSSIER CITY LA 71112

Organization’s website
Organization’s email PHSLADYPANTHERSSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DESIREE JACKSON
Signature Title TREASURER
Signature Date 3/17/2021

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