FORM 1023-EZ for HHH COLTS LACROSSE BOOSTER CLUB

Field Data
EIN 90-0924188
Case Number EO-2016004-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HHH COLTS LACROSSE BOOSTER CLUB
Organization’s Mailing Address 93 BUTTONWOOD DRIVE
City DIX HILLS
State NY
ZIP 11746-4834
Accounting period End 7
Primary contact name STEPHANIE GURIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUZANNE FORTE
PRESIDENT
25 EAST DOSORIS LANE
DIX HILLS NY 11746-6402

Officer/Director/Trustee Two

STEPHANIE GURIN
TREASURER
93 BUTTONWOOD DRIVE
DIX HILLS NY 11746-4804

Officer/Director/Trustee Three

JOANNE MCCARTHY
SECRETARY
24 GRAYON DRIVE
DIX HILLS NY 11746-5407

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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