FORM 1023-EZ for BROADENED OPPORTUNITY FOR OUTSTANDING STUDENT SELECTION AND TRACKING

Field Data
EIN 81-2481338
Case Number EO-2016235-000479
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROADENED OPPORTUNITY FOR OUTSTANDING STUDENT SELECTION AND TRACKING
Organization’s Mailing Address 15 JC LANE
City COLLINS
State MS
ZIP 39428
Accounting period End 12
Primary contact name ROBERT CROSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CROSBY
PRESIDENT AND FOUNDER
75076 FERN CREEK DRIVE
YULEE FL 32097

Officer/Director/Trustee Two

MICHELE JACKSON
DIRECTOR OF CORPORATE PARTNERSHIPS
655 WESTBOURNE DR
TYRONE GA 30297

Officer/Director/Trustee Three

MARTY CONNER
DIRECTOR OF GROWTH AND INNOVATION
131 BONHILL DR
CAYCE SC 29709

Officer/Director/Trustee Four

NATALIE NELSON
DIRECTOR OF COMMUNICATIONS
1156 ALBERTA CT
KING GEORGE VA 22485

Officer/Director/Trustee Five

ADREANA CROSBY
SECRETARY
5155 KEELE STREET APT 25G
JACKSON MS 39206

Organization’s website
Organization’s email BUILDINGBOOSTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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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