FORM 1023-EZ for TUMBLE U PARENT BOOSTER CLUB

Field Data
EIN 47-4965831
Case Number EO-2016134-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TUMBLE U PARENT BOOSTER CLUB
Organization’s Mailing Address 1832 CURRY BRANCH DR
City TIPP CITY
State OH
ZIP 45371
Accounting period End 6
Primary contact name JOY DOVIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOY DOVIAK
PRESIDENT
1832 CURRY BRANCH DRIVE
TIPP CITY OH 45371

Officer/Director/Trustee Two

BRAD KLINE
VICE PRESIDENT
2645 FIELDSTONE COURT
TROY OH 45373

Officer/Director/Trustee Three

RHONDA QUINTER
CO-TREASURER
6403 STATE ROUTE 47 WEST
SIDNEY OH 45365

Officer/Director/Trustee Four

ANGELA LEWIS
CO-TREASURER
PO BOX 249
CASSTOWN OH 45312

Officer/Director/Trustee Five

AMY HALL
SECRETARY
156 FINSBURY LANE
TROY OH 45373

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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
Signature Title
Signature Date

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