FORM 1023-EZ for EAST GREENBUSH GIRLS BASKETBALL ASSOCIATION INC

Field Data
EIN 14-1809151
Case Number EO-2016064-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST GREENBUSH GIRLS BASKETBALL ASSOCIATION INC
Organization’s Mailing Address PO BOX 215
City EAST GREENBUSH
State NY
ZIP 12061
Accounting period End 12
Primary contact name TRACEY POISSANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAN HANSEN
PRESIDENT
9 PARKVIEW DRIVE
RENSSELAER NY 12144

Officer/Director/Trustee Two

TRACEY POISSANT
TREASURER
2 BEVERLY DRIVE
WEST SAND LAKE NY 12196

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/1998
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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