FORM 1023-EZ for SUFFERN BOYS LACROSSE BOOSTER CLUBINC

Field Data
EIN 84-3239183
Case Number EO-2019277-000900
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUFFERN BOYS LACROSSE BOOSTER CLUBINC
Organization’s Mailing Address 251 WEST NYACK RD
City WEST NYACK
State NY
ZIP 10994
Accounting period End 7
Primary contact name RONALD DEBELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA BONNIST
VICE PRESIDENT
6 DIVOT PLACE
MONTEBELLO NY 10901

Officer/Director/Trustee Two

KATHY NICPON
PRESIDENT
14 CANTERBURY LANE
SUFFERN NY 10901

Officer/Director/Trustee Three

MEG TROMBETTA
SECRETARY
8 EAST PLACE
SUFFERN NY 10901

Organization’s website
Organization’s email SUFFERNLAXBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/19
Organization Incorporation State NY
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: 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 KATHY NICPON
Signature Title PRESIDENT
Signature Date 10/2/19
EIN 84-3239183
Case Number EO-2019277-000900
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUFFERN BOYS LACROSSE BOOSTER CLUB INC
Organization’s Mailing Address 251 WEST NYACK RD
City WEST NYACK
State NY
ZIP 10994
Accounting period End 7
Primary contact name RONALD DEBELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA BONNIST
VICE PRESIDENT
6 DIVOT PLACE
MONTEBELLO NY 10901

Officer/Director/Trustee Two

KATHY NICPON
PRESIDENT
14 CANTERBURY LANE
SUFFERN NY 10901

Officer/Director/Trustee Three

MEG TROMBETTA
SECRETARY
8 EAST PLACE
SUFFERN NY 10901

Organization’s website
Organization’s email SUFFERNLAXBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/19
Organization Incorporation State NY
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: 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 KATHY NICPON
Signature Title PRESIDENT
Signature Date 10/2/19

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