FORM 1023-EZ for NIMS BOOSTERS INC

Field Data
EIN 81-3577125
Case Number EO-2019273-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIMS BOOSTERS INC
Organization’s Mailing Address 2467 JENNINGS ROAD
City OLIN
State NC
ZIP 28660
Accounting period End 6
Primary contact name KARA CLOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA WILLIAMS
PRESIDENT
274 BAYMOUNT DRIVE
STATESVILLE NC 28625

Officer/Director/Trustee Two

DEBBIE JOHNSON
VICE PRESIDENT
150 TRANQUILITY LANE
HARMONY NC 28634

Officer/Director/Trustee Three

ASHLEE ROBINETTE
SECRETARY
159 HARDING LANE
HARMONY NC 28634

Officer/Director/Trustee Four

KARA CLOUSE
TREASURER
118 SUNDANCE CIRCLE
STATESVILLE NC 28625

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 KARA CLOUSE
Signature Title TREASURER
Signature Date 9/26/19

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