FORM 1023-EZ for BOLTON SCHOLARSHIP ASSOCIATION INC

Field Data
EIN 82-4009752
Case Number EO-2018017-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOLTON SCHOLARSHIP ASSOCIATION INC
Organization’s Mailing Address PO BOX 951
City BOLTON LANDING
State NY
ZIP 12814
Accounting period End 6
Primary contact name PATRICK FITZGERALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND CICCARELLI
DIRECTOR AND PRESIDENT
PO BOX 951
BOLTON LANDING NY 12814

Officer/Director/Trustee Two

DEBORAH ANDERSEN
DIRECTOR AND VICE PRESIDENT
PO BOX 951
BOLTON LANDING NY 12814

Officer/Director/Trustee Three

AMY CLESCERI
DIRECOTR AND TREASURER
PO BOX 951
BOLTON LANDING NY 12814

Officer/Director/Trustee Four

MICHELLE BORGH
DIRECTOR AND SECRETARY
PO BOX 951
BOLTON LANDING NY 12814

Officer/Director/Trustee Five

SUSAN CADY
DIRECOTR
PO BOX 951
BOLTON LANDING NY 12814

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 RAYMOND CICCARELLI
Signature Title DIRECTOR AND PRESIDENT
Signature Date 1/15/18

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