FORM 1023-EZ for WELLSVILLE-MIDDLETOWN ATHLETIC BOOSTERS INC

Field Data
EIN 81-2943392
Case Number EO-2016179-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELLSVILLE-MIDDLETOWN ATHLETIC BOOSTERS INC
Organization’s Mailing Address 141 PARADISE ROAD
City WELLSVILLE
State MO
ZIP 63384
Accounting period End 12
Primary contact name RANDAL J OWINGS - ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINE DETIENNE
PRESIDENT AND DIRECTOR
141 PARADISE ROAD
WELLSVILLE MO 63384

Officer/Director/Trustee Two

CAROLYN CANTERBURY
VICE-PRESIDENT AND DIRECTOR
220 HIGHWAY CC
WELLSVILLE MO 63384

Officer/Director/Trustee Three

CHRISTINE GRAY
SECRETARY AND DIRECTOR
539 N 2ND STREET
WELLSVILLE MO 63384

Officer/Director/Trustee Four

DEIDRE BRINEGAR
TREASURER AND DIRECTOR
169 HIGHWAY AA
WELLSVILLE MO 63384

Organization’s website
Organization’s email CDETIENNE6@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2016
Organization Incorporation State MO
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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