FORM 1023-EZ for PALMETTO HIGH BAND BOOSTER CORP

Field Data
EIN 47-5230405
Case Number EO-2017283-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALMETTO HIGH BAND BOOSTER CORP
Organization’s Mailing Address 1200 17TH ST W
City PALMETTO
State FL
ZIP 34221
Accounting period End 10
Primary contact name SUSAN HECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MILLER
PRESIDENT
609 18TH ST W
PALMETTO FL 34221

Officer/Director/Trustee Two

PATRICIA MILLER
VICE PRESIDENT
609 18TH ST W
PALMETTO FL 34221

Officer/Director/Trustee Three

SUSAN HECKER
TREASURER
345 12TH AVE W
PALMETTO FL 34221

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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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