FORM 1023-EZ for GILLIE GIRL SPRINT TRIATHLON INC

Field Data
EIN 83-0760390
Case Number EO-2019137-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GILLIE GIRL SPRINT TRIATHLON INC
Organization’s Mailing Address 6793 WOODCHUCK HILL ROAD
City FAYETTEVILLE
State NY
ZIP 13066
Accounting period End 12
Primary contact name MARK ARBON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK ARBON
DIRECTOR
110 W FAYETTE STREET STE 1110
SYRACUSE NY 13202

Officer/Director/Trustee Two

SAM SAMPERE
DIRECTOR, PRESIDENT
6793 WOODCHUCK HILL ROAD
FAYETTEVILLE NY 13066

Officer/Director/Trustee Three

TRACY CROMP
DIRECTOR, VICE PRESIDENT
6793 WOODCHUCK HILL ROAD
FAYETTEVILLE NY 13066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
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 MARK ARBON
Signature Title DIRECTOR
Signature Date 5/15/19

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