FORM 1023-EZ for NEWBERRY BAND BOOSTERS INC

Field Data
EIN 84-4484731
Case Number EO-2020303-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEWBERRY BAND BOOSTERS INC
Organization’s Mailing Address PO BOX 144
City NEWBERRY
State FL
ZIP 32669
Accounting period End 6
Primary contact name KEVLYN MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVLYN MCINTOSH
PRESIDENT/DIRECTOR
21230 SW 15TH AVENUE
NEWBERRY FL 32669

Officer/Director/Trustee Two

TIFFANY BAISDEN
SECRETARY/DIRECTOR
13605 NW CR 235 APT 903
ALACHUA FL 32615

Officer/Director/Trustee Three

JENNIFER ROLLINS
TREASURER/DIRECTOR
25062 NW 133RD ROAD
HIGH SPRINGS FL 32643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
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 KEVLYN MCINTOSH
Signature Title PRESIDENT/DIRECTOR
Signature Date 10/27/2020

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