FORM 1023-EZ for DY HIGH SCHOOL HOCKEY BOOSTERS INC

Field Data
EIN 20-5762980
Case Number EO-2017307-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DY HIGH SCHOOL HOCKEY BOOSTERS INC
Organization’s Mailing Address 114 HIGGINS CROWELL ROAD
City WEST YARMOUTH
State MA
ZIP 02673
Accounting period End 6
Primary contact name MARYBETH WINSLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY TERRIO
PRESIDENT
58 PINE ST
YARMOUTH PORT MA 02675

Officer/Director/Trustee Two

ROBERT BENOIT
VICE PRESIDENT
8 HILLSIDE DR
DENNIS MA 02638

Officer/Director/Trustee Three

LENA MEDEIROS
TREASURER ELECT
114 HIGGINS CROWELL RD
WEST YARMOUTH MA 02673

Officer/Director/Trustee Four

LISA SHEEHAN
SECRETARY
57 BRUSH HILL RD
YARMOUTH PORT MA 02675

Officer/Director/Trustee Five

MARY BETH WINSLOW
TREASURER
7 TRUMAN LANE
WEST YARMOUTH MA 02673

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2006
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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