FORM 1023-EZ for CENTENNIAL HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 84-3591266
Case Number EO-2019311-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTENNIAL HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address 3505 SE 182ND AVENUE
City GRESHAM
State OR
ZIP 97030
Accounting period End 6
Primary contact name BRENT CHILD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA KRAMER
CO-PRESIDENT
3429 SW WONDERVIEW AVE
GRESHAM OR 97080

Officer/Director/Trustee Two

AMMIE CARVER
CO-PRESIDENT
16035 SE TAGGART ST
PORTLAND OR 97236

Officer/Director/Trustee Three

TAMI COCHRAN
SECRETARY
3835 SW 5TH DR
GRESHAM OR 97030

Officer/Director/Trustee Four

TAMARA BROWN
TREASURER
1000 SW BROADWAY ST
PORTLAND OR 97205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/19
Organization Incorporation State OR
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: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LINDA KRAMER
Signature Title CO-PRESIDENT
Signature Date 11/5/19

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