FORM 1023-EZ for CLARKSTOWN NORTH MAT CLUB INC

Field Data
EIN 83-0399300
Case Number EO-2016278-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARKSTOWN NORTH MAT CLUB INC
Organization’s Mailing Address 102 LAKEWOOD DRIVE
City CONGERS
State NY
ZIP 10920-1712
Accounting period End 12
Primary contact name NANCY ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD STERN
PRESIDENT
16 ELAINE DRIVE
NEW CITY NY 10956

Officer/Director/Trustee Two

NANCY STERN
VICE PRESIDENT
16 ELAINE DRIVE
NEW CITY NY 10956

Officer/Director/Trustee Three

FRANK CIFUNI
SECRETARY
102 LAKEWOOD DRIVE
CONGERS NY 10920-1712

Officer/Director/Trustee Four

NANCY ALEXANDER
TREASURER
45 FRIEND STREET
CONGERS NY 10920

Officer/Director/Trustee Five

ANTHONY MELLINO
ADVISOR
4 CLARKWOOD DRIVE
CORNWALL NY 12518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2004
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: 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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