FORM 1023-EZ for MHS BOYS BASKETBALL BOOSTER CLUB

Field Data
EIN 47-2485982
Case Number EO-2015183-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MHS BOYS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 4415 N 129TH DRIVE
City LITCHFIELD PARK
State AZ
ZIP 85340
Accounting period End 12
Primary contact name TERRA DUKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRA DUKE
PRESIDENT
4415 N 129TH DRIVE
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Two

SHERRI MARIN
VICE PRESIDENT
12221 WEST EDGEMONT
AVONDALE AZ 85392

Officer/Director/Trustee Three

SANDRA MATSUSAKA
TREASURER
13221 WEST FAIRMONT AVENUE
LITCHFIELD PARK AZ 85340

Officer/Director/Trustee Four

LYDIA SCHAEFER
SECRETARY
13431 WEST ROVEY AVENUE
LITCHFIELD PARK AZ 85340

Organization’s website
Organization’s email MHSBOYSBBALLBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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
Signature Title
Signature Date

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