FORM 1023-EZ for PC STEAM BOOSTER CLUB

Field Data
EIN 82-1923023
Case Number EO-2019364-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PC STEAM BOOSTER CLUB
Organization’s Mailing Address 5380 HWY 53 WEST
City BURGAW
State NC
ZIP 28401
Accounting period End 5
Primary contact name JARED PINKSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF HANSEN
PRESIDENT
804 CENTER COURT
BURGAW NC 28425

Officer/Director/Trustee Two

JANET LANIER
VICE PRESIDENT
7404 US HWY 117 N
WILLARD NC 28478

Officer/Director/Trustee Three

JESSICA BRADEN
SECRETARY
257 LAKE DRIVE
BURGAW NC 28425

Officer/Director/Trustee Four

LISA ENGLISH
TREASURER
7424 US HWY 117N
WILLARD NC 28478

Officer/Director/Trustee Five

JARED PINKSTON
SCHOOLS LIASON
1521 VILLAGE DRIVE APT 2
WILMINGTON NC 28401

Organization’s website HTTPS://WWW.PHENIXROBOTICS.ORG/PROGRAMS/ROBOTICS/
Organization’s email COACH6214@PHENIXROBOTICS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2017
Organization Incorporation State NC
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: Yes
Religious: No
Educational: Yes
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 JARED PINKSTON
Signature Title SCHOOLS LIASON
Signature Date 12/27/2019

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