FORM 1023-EZ for SACHEM NORTH BOYS LACROSSE BOOSTERCLUB INC

Field Data
EIN 47-3119340
Case Number EO-2015131-000498
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SACHEM NORTH BOYS LACROSSE BOOSTERCLUB INC
Organization’s Mailing Address PO BOX 2
City HOLBROOK
State NY
ZIP 11741
Accounting period End 12
Primary contact name BRIAN GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN GRIFFIN
PRESIDENT
36 SANKEYS PATH
LAKE GROVE NY 11755

Officer/Director/Trustee Two

LINDA GANNON
VICE PRSIDENT
166 CARROLL AVE
LAKE RONKONKOMA NY 11779

Officer/Director/Trustee Three

DAVID ARANOW
TREASURER
445 TWINBARK ACE
HOLBROOK NY 11741

Officer/Director/Trustee Four

SHAWN DOOLAN
SECRETARY
113 VIRGINIA AVE
LAKE GROVE NY 11775

Organization’s website SACHEMNORTHLACROSSE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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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