FORM 1023-EZ for JACKET ATHLETICS BOOSTER CLUB INC

Field Data
EIN 86-2912771
Case Number EO-2021100-001184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKET ATHLETICS BOOSTER CLUB INC
Organization’s Mailing Address 1821 CR 13 SOUTH
City ELKTON
State FL
ZIP 32033
Accounting period End 6
Primary contact name TARA SHELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA SHELLEY
SECRETARY
1821 CR 13 SOUTH
ELKTON FL 32033

Officer/Director/Trustee Two

MARK SHELLEY
PRESIDENT
330 ARPIEKA AVE
SAINT AUGUSTINE FL 32080

Officer/Director/Trustee Three

TOMMY ALEXANDER
VICE PRESIDENT
18 MADEIRA DRIVE
SAINT AUGUSTINE FL 32080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 TARA SHELLEY
Signature Title SECRETARY
Signature Date 3/31/2021

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