FORM 1023-EZ for EGG HARBOR TWP BOYS LACROSSE BOOSTER CLUB

Field Data
EIN 83-2171825
Case Number EO-2019035-000924
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EGG HARBOR TWP BOYS LACROSSE BOOSTER CLUB
Organization’s Mailing Address 603 CENTRAL AVENUE
City EGG HARBOR TOWNSHIP
State NJ
ZIP 8234
Accounting period End 12
Primary contact name MICHELE KIRTSOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE KIRTSOS
PRESIDENT
603 CENTRAL AVENUE
EGG HARBOR TOWNSHIP NJ 8234

Officer/Director/Trustee Two

DENISE HLADUN
VICE PRESIDENT
12 HIDEAWAY DRIVE
EGG HARBOR TWP NJ 8234

Officer/Director/Trustee Three

MARIE KELLY GLIBRIDE
TREASURER
38 CLOVER HILL CIRCLE
EGG HARBOR TOWNSHIP NJ 8234

Officer/Director/Trustee Four

LYNN MATTHEWS
SECRETARY
308 POND ROAD
EGG HARBOR TOWNSHIP NJ 8234

Organization’s website
Organization’s email MKIRTSOS@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 MICHELE KIRTSOS
Signature Title PRESIDENT
Signature Date 1/14/19

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