FORM 1023-EZ for LONG CANE MIDDLE SCHOOL BOOSTER CLUB INC

Field Data
EIN 46-5535702
Case Number EO-2017313-000478
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG CANE MIDDLE SCHOOL BOOSTER CLUB INC
Organization’s Mailing Address 326 LONG CANE ROAD
City LAGRANGE
State GA
ZIP 30240
Accounting period End 12
Primary contact name JERRY WITMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA DOUGHMAN
TRESURER
141 DENNIS SMITH ROAD
PINE MOUNTAIN GA 31822

Officer/Director/Trustee Two

TARA MESSER
PRESIDENT
101 FRANCOLYN TERRACE
WEST POINT GA 31833

Officer/Director/Trustee Three

JEAN CARLTON
VP
108 HILLCREST ROAD
WEST POINT GA 31833

Officer/Director/Trustee Four

LAKEE SNELL
MEMBER
100 WEATHERS DRIVE
LAGRANGE GA 30240

Officer/Director/Trustee Five

MARK CARLTON
MEMBER
108 HILLCREST ROAD
WEST POINT GA 31833

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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
EIN 46-5535702
Case Number EO-2015246-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONG CANE MIDDLE SHOOL BOOSTER CLUBINC
Organization’s Mailing Address 326 LONG CANE ROAD
City LAGRANGE
State GA
ZIP 30240
Accounting period End 12
Primary contact name JERRY WITMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MONICA DOUGHMAN
TRESURER
141 DENNIS SMITH RD
PINE MOUNTAIN GA 31822

Officer/Director/Trustee Two

TARA MESSER
PRESIDENT
101 FRANCOLYN TERRACE
WEST POINT GA 31833

Officer/Director/Trustee Three

JEAN CARLTON
VP
108 HILLCREST ROAD
WEST POINT GA 31833

Officer/Director/Trustee Four

LAKEE SNELL
MEMBER
100 WEATHERS DRIVE
LAGRANGE GA 30240

Officer/Director/Trustee Five

MARK CARLTON
MEMBER
108 HILLCREST ROAD
WEST POINT GA 31833

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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