FORM 1023-EZ for SABER DEN SPORTS CLUB INC

Field Data
EIN 86-2888001
Case Number EO-2021100-001032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SABER DEN SPORTS CLUB INC
Organization’s Mailing Address 283 AHERN RD
City BINGHAMTON
State NY
ZIP 13903
Accounting period End 12
Primary contact name JEREMY POLHAMUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY POLHAMUS
PRESIDENT / DIRECTOR
283 AHERN RD
BINGHAMTON NY 13903

Officer/Director/Trustee Two

JUSTIN PARKER
TREASURER / DIRECTOR
283 AHERN RD
BINGHAMTON NY 13903

Officer/Director/Trustee Three

KORY TROTTER
SECRETARY / DIRECTOR
283 AHERN RD
BINGHAMTON NY 13903

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2021
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 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 JEREMY POLHAMUS
Signature Title PRESIDENT / DIRECTOR
Signature Date 3/30/2021

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