FORM 1023-EZ for NHS SWIM TEAM BOOSTER CLUB INC

Field Data
EIN 85-3524198
Case Number EO-2021030-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NHS SWIM TEAM BOOSTER CLUB INC
Organization’s Mailing Address 190 LAGRANGE ST
City NEWNAN
State GA
ZIP 30263
Accounting period End 12
Primary contact name TIM HIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE MERCIER
PRESIDENT
244 KENDALL ST
NEWNAN GA 30263

Officer/Director/Trustee Two

KIM HIGGINS
VICE PRESIDENT
15 WINFIELD DR
NEWNAN GA 30263

Officer/Director/Trustee Three

STACY WIGLESWORTH
TREASURER
150 FAUNA MEADOWS DR
NEWNAN GA 30263

Officer/Director/Trustee Four

BRANDY EVERSOLL
SECRETARY
10 BUTLER LANE
NEWNAN GA 30263

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIM HIGGINS
Signature Title VICE PRESIDENT
Signature Date 12/11/2020

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