FORM 1023-EZ for CHAMBLEE HIGH LACROSSE BOOSTER CLUB

Field Data
EIN 86-2649959
Case Number EO-2021099-001741
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAMBLEE HIGH LACROSSE BOOSTER CLUB
Organization’s Mailing Address 5456 PEACHTREE BLVD SUITE 207
City CHAMBLEE
State GA
ZIP 30341
Accounting period End 12
Primary contact name JENNIFER REEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI SHINDELL
PRESIDENT
810 BYRNWICK DR
ATLANTA GA 30319

Officer/Director/Trustee Two

DIANE ALLERS
VICE PRESIDENT
1811 TOBEY RD
BROOKHAVEN GA 30319

Officer/Director/Trustee Three

JENNIFER REEVES
TREASURER
3155 FRONTENAC CT NE
BROOKHAVEN GA 30319

Officer/Director/Trustee Four

CHRISTINA SCHERRER
SECRETARY
5499 BUNKY WAY
DUNWOODY GA 30338

Organization’s website WWW.CHAMBLEELACROSSE.COM
Organization’s email CHAMBLEELACROSSE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 JENNIFER REEVES
Signature Title TREASURER
Signature Date 3/22/2021

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