FORM 1023-EZ for MILLBROOK ROBOTICS BOOSTER CLUB

Field Data
EIN 81-4224832
Case Number EO-2017284-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLBROOK ROBOTICS BOOSTER CLUB
Organization’s Mailing Address 2201 SPRING FOREST ROAD
City RALEIGH
State NC
ZIP 27615-7536
Accounting period End 6
Primary contact name RICHARD MCKAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD MCKAY
CHAIR
1814 CARRINGTON DRIVE
RALEIGH NC 27615-3711

Officer/Director/Trustee Two

HENRY PHAM
TREASURER
2919 SEDGEFIELD PINES LN
RALEIGH NC 27604-3995

Officer/Director/Trustee Three

MICHELLE MILLER
SECRETARY
10600 HANARRY CT
RALEIGH NC 27614-9309

Officer/Director/Trustee Four

KARINA NAVIA
DIRECTOR AT-LARGE
2404 BUCKWATER CT
RALEIGH NC 27615-8009

Officer/Director/Trustee Five

KARA COOK
DIRECTOR AT-LARGE
1016 DICKINSON CIR
RALEIGH NC 27614-8603

Organization’s website HTTP://MILLBROOKROBOTICS.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
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
Signature Title
Signature Date

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