FORM 1023-EZ for EHS CROSS COUNTRY BOOSTER CLUB

Field Data
EIN 82-3433567
Case Number EO-2018004-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EHS CROSS COUNTRY BOOSTER CLUB
Organization’s Mailing Address 1803 TOPAZ ROAD
City KILLEEN
State TX
ZIP 76543-5156
Accounting period End 6
Primary contact name ALTHEA W DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE PEREZ III
PRESIDENT
1803 TOPAZ
KILLEEN TX 76543-5156

Officer/Director/Trustee Two

JENAE GILES
VICE PRESIDENT
1803 TOPAZ ROAD
KILLEEN TX 76543-5156

Officer/Director/Trustee Three

ALTHEA DAVIS
TREASURER
1803 TOPAZ ROAD
KILLEEN TX 76543-5156

Officer/Director/Trustee Four

MISHA ANDERSON
SECRETARY
1803 TOPAZ ROAD
KILLEEN TX 76543-5156

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State TX
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALTHEA DAVIS
Signature Title TREASURER
Signature Date 1/2/18

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