FORM 1023-EZ for PINE VIEW HIGH SCHOOL FOOTBALL BOOSTER CLUB

Field Data
EIN 47-3933566
Case Number EO-2015191-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINE VIEW HIGH SCHOOL FOOTBALL BOOSTER CLUB
Organization’s Mailing Address 90 EAST 100 SOUTH STE 100
City ST GEORGE
State UT
ZIP 84770-3453
Accounting period End 12
Primary contact name ADAM LEGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUG MADSEN
PRESIDENT
1621 LIZZIE LANE
ST GEORGE UT 84790-2223

Officer/Director/Trustee Two

JESSE KNIGHT
VICE PRESIDENT
896 S FIVE SISITERS DRIVE
ST GEORGE UT 84790-4038

Officer/Director/Trustee Three

ADAM LEGG
TREASURER
1221 WEST 2320 SOUTH
ST GEORGE UT 84770-6958

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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
Signature Title
Signature Date

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