FORM 1023-EZ for AVA FFA BOOSTER CLUB

Field Data
EIN 82-2002918
Case Number EO-2021258-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVA FFA BOOSTER CLUB
Organization’s Mailing Address RT 5 BOX 418
City AVA
State MO
ZIP 65608
Accounting period End 12
Primary contact name DEANA L PARSICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRE CLARK
PRESIDENT
RT 5 BOX 418
AVA MO 65608

Officer/Director/Trustee Two

ED WITTORFF
VICE PRESIDENT
RT 5 BOX 418
AVA MO 65608

Officer/Director/Trustee Three

GARRY DEVORE
SECRETARY TREASURER
RT5 BOX 418
AVA MO 65608

Officer/Director/Trustee Four

JO SHRABLE
DIRECTOR
RT 2 BOX 2851
AVA MO 65608

Officer/Director/Trustee Five

BARBIE ERNST
DIRECTOR
PO BOX 188
AVA MO 65608

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: No
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 KERRE CLARK
Signature Title PRESIDENT
Signature Date 9/13/2021

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