FORM 1023-EZ for HEMPFIELD BOYS BASKETBALL BOOSTER CLUB

Field Data
EIN 81-2401071
Case Number EO-2016119-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEMPFIELD BOYS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 2432 SPRING VALLEY ROAD
City LANCASTER
State PA
ZIP 17601-2408
Accounting period End 6
Primary contact name CAROL HULSTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAREN MOFFATT
PRESIDENT
3616 FALCON COURT
MOUNTVILLE PA 17554

Officer/Director/Trustee Two

MARY HAZEL
VICE PRESIDENT
4070 WOODCREST LANE
COLUMBIA PA 17512

Officer/Director/Trustee Three

MICHELE HAGEL
SECRETARY
3619 PEREGRINE CIRCLE
MOUNTIVLLE PA 17554

Officer/Director/Trustee Four

CAROL HULSTINE
TREASURER
2432 SPRING VALLEY ROAD
LANCASTER PA 17601-2408

Organization’s website
Organization’s email CEHULSTINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
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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