FORM 1023-EZ for FOSSIL RIDGE HIGH SCHOOL BOYS BASKETBALL BOOSTER CLUB

Field Data
EIN 84-2063594
Case Number EO-2019310-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOSSIL RIDGE HIGH SCHOOL BOYS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address PO BOX 270095
City FORT COLLINS
State CO
ZIP 80527
Accounting period End 12
Primary contact name TAMERIA DISHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMERIA DISHMAN
PRESIDENT
1000 HUNTINGTON HILLS DR
FORT COLLINS CO 80525

Officer/Director/Trustee Two

SARAH LESS
VICE-PRESIDENT
6151 CARMICHAEL STREET
FORT COLLINS CO 80528

Officer/Director/Trustee Three

STACEY CORNMESSER
TREASURER
5802 STONEWATER DR
FORT COLLINS CO 80528

Officer/Director/Trustee Four

CHRISTINE COVER
SECRETARY
3408 SHALLOW POND DR
FORT COLLINS CO 80528

Organization’s website HTTPS://SITES.GOOGLE.COM/VIEW/FRHSBBALLBOOSTERCLUB
Organization’s email FRHSBBASKETBALLBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 TAMERIA DISHMAN
Signature Title PRESIDENT
Signature Date 11/4/19

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