FORM 1023-EZ for PICKENS HIGH SCHOOL CROSS COUNTRY BOOSTER CLUB INC

Field Data
EIN 83-0991165
Case Number EO-2018204-000502
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PICKENS HIGH SCHOOL CROSS COUNTRY BOOSTER CLUB INC
Organization’s Mailing Address 173 SETTLEMENT ROAD
City JASPER
State GA
ZIP 30143
Accounting period End 12
Primary contact name JACKIE PAGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE PAGEL
TREASURER
G
JASPER GA 30143

Officer/Director/Trustee Two

CHAD MORRIS
PRESIDENT
98 BARREL WAY
BALL GROUND GA 30107

Officer/Director/Trustee Three

TRACY WOODS
VICE PRESIDENT
128 MOUNTAIN LAKE DRIVE
JASPER GA 30143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 JACKIE PAGEL
Signature Title TREASURER
Signature Date 7/21/18

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