FORM 1023-EZ for WARRIORETTE PARENT BOOSTER CLUB

Field Data
EIN 27-1249526
Case Number EO-2015040-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARRIORETTE PARENT BOOSTER CLUB
Organization’s Mailing Address 550 SOUTH GARDNER ST
City SCOTTSBURG
State IN
ZIP 47170
Accounting period End 12
Primary contact name LESLIE MEANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE MEANS
PRESIDENT
1353 N SHADY LANE DR
SCOTTSBURG IN 47170

Officer/Director/Trustee Two

TONY BARRETT
VICE PRESIDENT
2734 N STATE ROAD 203
SCOTTSBURG IN 47170

Officer/Director/Trustee Three

STEPHANIE WASKOM
TREASURER
577 N BOATMAN ROAD
SCOTTSBURG IN 47170

Officer/Director/Trustee Four

SONIA DAVIDSON
SECRETARY
35 W PIGEON RIDGE CT
SCOTTSBURG IN 47170

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2015
Organization Incorporation State IN
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: 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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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