FORM 1023-EZ for GOSHEN SCIENCE OLYMPIAD ORGANIZATION

Field Data
EIN 30-0783852
Case Number EO-2016307-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOSHEN SCIENCE OLYMPIAD ORGANIZATION
Organization’s Mailing Address 9 PACER COURT
City GOSHEN
State NY
ZIP 10924
Accounting period End 6
Primary contact name LISA JAYNE DOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARIN HABLOW
PRESIDENT
6 ROYAL VISTA DRIVE
GOSHEN NY 10924

Officer/Director/Trustee Two

DEVRA MISTRETTA
SECRETARY
25 NORTHGATE
GOSHEN NY 10924

Officer/Director/Trustee Three

LISA JAYNE DOYLE
TREASURER
9 PACER COURT
GOSHEN NY 10924

Officer/Director/Trustee Four

RON KLIEVERIK
TRUSTEE
8 CAMELOT DRIVE
GOSHEN NY 10924

Officer/Director/Trustee Five

NANCY WIEGAND
TRUSTEE
32 OWENS ROAD
GOSHEN NY 10924

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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