FORM 1023-EZ for WILLISTON MIDDLE HIGH SCHOOL FOOTBALL BOOSTER CLUB INC

Field Data
EIN 83-2827226
Case Number EO-2019028-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLISTON MIDDLE HIGH SCHOOL FOOTBALL BOOSTER CLUB INC
Organization’s Mailing Address 350 SW 12TH AVENUE
City WILLISTON
State FL
ZIP 32696
Accounting period End 12
Primary contact name MICHAEL R MUNDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL R MUNDEN
PRESIDENT
338 NE STATE ROAD 121
WILLISTON FL 32696

Officer/Director/Trustee Two

ERIC WARD
VICE PRESIDENT
610 SE 6TH AVENUE
WILLISTON FL 32696

Officer/Director/Trustee Three

JULIE WARD
SECRETARY
610 SE 6TH AVENUE
WILLISTON FL 32696

Officer/Director/Trustee Four

KAREN PICKEL
TREASURER
5951 SE US HWY 41
MORRISTON FL 32668

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/18
Organization Incorporation State FL
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 MICHAEL R MUNDEN
Signature Title PRESIDENT
Signature Date 12/14/18

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