FORM 1023-EZ for OAK GROVE ATHLETIC BOOSTER CLUB INC

Field Data
EIN 58-2018120
Case Number EO-2014272-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OAK GROVE ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address 6068 HWY 98 W STE 1 BOX 181
City HATTIESBURG
State MS
ZIP 39402
Accounting period End 5
Primary contact name CHELLIE EAVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDIE BROCK
PRESIDENT
6068 HWY 98 W STE 1 BOX 181
HATTIESBURG MS 39402

Officer/Director/Trustee Two

PAUL CUMMINS
VICE PRESIDENT 1
6068 HWY 98 W STE 1 BOX 181
HATTIESBURG MS 39402

Officer/Director/Trustee Three

KATHY CUMMINS
VICE PRESIDENT 2
6068 HWY 98 W STE 1 BOX 181
HATTIESBURG MS 39402

Officer/Director/Trustee Four

LISA MCMAHON
SECRETARY
6068 HWY 98 W STE 1 BOX 181
HATTIESBURG MS 39402

Officer/Director/Trustee Five

CHELLIE EAVENSON
TREASURER
6068 HWY 98 W STE 1 BOX 181
HATTIESBURG MS 39402

Organization’s website WWW.OGWARRIORCLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/1992
Organization Incorporation State MS
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 Yes
One Third Support Gifts No
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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