FORM 1023-EZ for ROSE HILL ROCKET SOCCER BOYS BOOSTER CLUB

Field Data
EIN 83-2056751
Case Number EO-2021216-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSE HILL ROCKET SOCCER BOYS BOOSTER CLUB
Organization’s Mailing Address 203 N WARREN AVE UNIT D
City ROSE HILL
State KS
ZIP 67133
Accounting period End 9
Primary contact name MARY J JUREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TELZEY JANTZEN
PRESIDENT
16266 SW 146TH ST
ROSE HILL KS 67133

Officer/Director/Trustee Two

KRISTIN BATES
VICE-PRESIDENT
17209 SW PRAIRIE CREEK
ROSE HILL KS 67133

Officer/Director/Trustee Three

REBEKAH BROOKS
SECRETARY
11630 E ECHO CIRCLE
DERBY KS 67037

Officer/Director/Trustee Four

MARY J JUREY
TREASURER
203 N WARREN AVE UNIT D
ROSE HILL KS 67133

Organization’s website
Organization’s email RHRSBBC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2018
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 MARY J JUREY
Signature Title TREASURER
Signature Date 8/2/2021

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