FORM 1023-EZ for HCS BOOSTER CLUB

Field Data
EIN 81-0772143
Case Number EO-2016035-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HCS BOOSTER CLUB
Organization’s Mailing Address 2416 BUR OAK ST NE
City CANTON
State OH
ZIP 44705-3123
Accounting period End 6
Primary contact name SCOTT A DURBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT DURBIN
PRESIDENT
2416 BUR OAK ST NE
CANTON OH 44705-3123

Officer/Director/Trustee Two

TINA LAIRD
VICE PRESIDENT
1441 WABASH CT NE
CANTON OH 44705-1621

Officer/Director/Trustee Three

MICHAEL DAVIS
TREASURER
333 19TH ST NW
CANTON OH 44709-3850

Officer/Director/Trustee Four

DEBRA DURBIN
SECRETARY
2416 BUR OAK ST NE
CANTON OH 44705-3123

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2015
Organization Incorporation State OH
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: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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