FORM 1023-EZ for 4TH COMMUNICATIONS SQUADRON BOOSTERCLUB

Field Data
EIN 26-4182661
Case Number EO-2018236-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4TH COMMUNICATIONS SQUADRON BOOSTERCLUB
Organization’s Mailing Address 1195 JABARRAH AVENUE
City GOLDSBORO
State NC
ZIP 27531
Accounting period End 1
Primary contact name CHARLES BONER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES BONER
TREASURER
3606 WRIGHT BROTHERS AVE UNIT 304
GOLDSBORO NC 27531

Officer/Director/Trustee Two

DEREK METZGER
VICE PRESIDENT
700 NORTH SPENCE APT K4
GOLDSBORO NC 27531

Officer/Director/Trustee Three

TANISHA DOVE-RIVERS
PRESIDENT
201 KORBEL DR
PRINCETON NC 27569

Organization’s website
Organization’s email 4CS.BOOSTERCLUB@US.AF.MIL
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/12
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z90 -
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES BONER
Signature Title TREASURER
Signature Date 8/22/18

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