FORM 1023-EZ for DUPONT MANUAL HIGH SCHOOL BOYS LACROSSE BOOSTER CLUB INC

Field Data
EIN 71-1018198
Case Number EO-2014237-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUPONT MANUAL HIGH SCHOOL BOYS LACROSSE BOOSTER CLUB INC
Organization’s Mailing Address 600 UPLAND RD
City LOUISVILLE
State KY
ZIP 40206-2837
Accounting period End 6
Primary contact name PAM WOLFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE BREWER
PRESIDENT
11604 OSAGE RD
LOUISVILLE KY 40223-1441

Officer/Director/Trustee Two

PAM WOLFORD
TREASURER
600 UPLAND RD
LOUISVILLE KY 40206-2837

Officer/Director/Trustee Three

GAIL DEWEY
VICE PRESIDENT
2828 POMEROY DR
LOUISVILLE KY 40218-2339

Officer/Director/Trustee Four

PINKY JACKSON
SECRETARY
2838 SHOEMAKER DR
LOUISVILLE KY 40241-6501

Officer/Director/Trustee Five

LEN GANT
FUND RAISING
462 SOUTH FOURTH ST
LOUISVILLE KY 40202-3466

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2006
Organization Incorporation State KY
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: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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