FORM 1023-EZ for LAKE RIDGE CHOIR BOOSTER

Field Data
EIN 61-1793689
Case Number EO-2016193-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE RIDGE CHOIR BOOSTER
Organization’s Mailing Address 101 N DAY MIAR RD
City MANSFIELD
State TX
ZIP 76063
Accounting period End 6
Primary contact name MELISSA PEUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA PEUGH
PRESIDENT
411 MCKOWN DR
MANSFIELD TX 76063

Officer/Director/Trustee Two

KERI GENTRY
1ST VICE PRESIDENT
105 GREENVALE DR
MANSFIELD TX 76063

Officer/Director/Trustee Three

DAVID GENTRY
SECRETARY
105 GREENVALE DR
MANSFIELD TX 76063

Officer/Director/Trustee Four

APRIL AUGUSTINE
TREASURER
4 ROOSEVELT CT
MANSFIELD TX 76063

Officer/Director/Trustee Five

PHILIP GLENN
PARLAMENTARIAN
101 N DAY MIAR RD
MANSFIELD TX 76063

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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
Signature Title
Signature Date

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