FORM 1023-EZ for MHS POM BOOSTER CLUB

Field Data
EIN 27-3256718
Case Number EO-2015257-000495
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MHS POM BOOSTER CLUB
Organization’s Mailing Address 300 N EASTERN AVE
City MOORE
State OK
ZIP 73160
Accounting period End 6
Primary contact name TRACY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STACEY MORRIS
PRESIDENT
4115 SE 86 PLACE
MOORE OK 73160

Officer/Director/Trustee Two

TRACY JOHNSON
TREASURER
521 ALLISON LANE
MOORE OK 73160

Officer/Director/Trustee Three

SHARI WILSON
VICE PRESIDENT
2204 NE 18
MOORE OK 73160

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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