FORM 1023-EZ for TEST BOOSTER CLUB INC

Field Data
EIN 84-4366567
Case Number EO-2020031-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEST BOOSTER CLUB INC
Organization’s Mailing Address 24926 LAKECREST GLEN DR
City KATY
State TX
ZIP 77493-4012
Accounting period End 12
Primary contact name JESSE NEWSOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE NEWSOM
PRESIDENT AND DIRECTOR
24926 LAKECREST GLEN DR
KATY TX 77493-4012

Officer/Director/Trustee Two

ADAM MILECZ
SECRETARY AND DIRECTOR
5103 JUNCTION CLIFF CT
FULSHEAR TX 77441-1492

Officer/Director/Trustee Three

RYAN DUGAL
TREASURER AND DIRECTOR
21540 PROVINCIAL NO 1115
KATY TX 77450-7530

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 JESSE NEWSOM
Signature Title PRESIDENT AND DIRECTOR
Signature Date 1/29/2020

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