FORM 1023-EZ for LAKE STATION ATHLETIC BOOSTER CLUB

Field Data
EIN 46-5088795
Case Number EO-2018057-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE STATION ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 2555 FAYETTE
City LAKE STATION
State IN
ZIP 46405
Accounting period End 4
Primary contact name TAMARA ARMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA ARMES
PRESIDENT
2555 FAYETTE STREET
LAKE STATION IN 46405-6405

Officer/Director/Trustee Two

JENNIFER ROWAN
VICE PRESIDENT
2668 HOWARD STREET
LAKE STATION IN 46405-6405

Officer/Director/Trustee Three

PAMELA SHAFFNER
SECRETARY/TREASURER
2958 WELLS STREET
LAKE STATION IN 46405-6405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/14
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMARA ARMES
Signature Title PRESIDENT
Signature Date 2/23/18

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