FORM 1023-EZ for CAPITAL CITY HIGH SCHOOL BASKETBALLBOOSTER CLUB

Field Data
EIN 84-2592448
Case Number EO-2019274-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPITAL CITY HIGH SCHOOL BASKETBALLBOOSTER CLUB
Organization’s Mailing Address 1650 CAVALIER DR
City JEFFERSON CITY
State MO
ZIP 65109
Accounting period End 10
Primary contact name CHAD STIEFERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB ROBINETT
PRESIDENT
2100 DEER TRAIL
JEFFERSON CITY MO 65101-5504

Officer/Director/Trustee Two

KEVIN SCHWARZER
TREASURER
4110 LAURA AVENUE
JEFFERSON CITY MO 65109-7359

Officer/Director/Trustee Three

CHAD STIEFERMAN
VICE PRESIDENT
4060 SCARBOROUGH WAY
JEFFERSON CITY MO 65109-6457

Officer/Director/Trustee Four

CINDY DIXON
SECRETARY
303 SUMMERHILL DRIVE
JEFFERSON CITY MO 65109-4103

Officer/Director/Trustee Five

CARI SCHULTE
MEMBER AT LARGE
722 KAYLYN DRIVE
JEFFERSON CITY MO 65109-4953

Organization’s website N/A
Organization’s email CCBOYSBB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHAD STIEFERMAN
Signature Title VICE PRESIDENT
Signature Date 9/27/19

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