FORM 1023-EZ for CLARENCE SOCCER BOOSTERS INC

Field Data
EIN 84-3410232
Case Number EO-2019350-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLARENCE SOCCER BOOSTERS INC
Organization’s Mailing Address 4560 BONCREST DRIVE EAST
City WILLIAMSVILLE
State NY
ZIP 14221
Accounting period End 12
Primary contact name ALYSSA M GROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA ELLIS
PRESIDENT / DIRECTOR
4825 THOMPSON ROAD
CLARENCE NY 14031

Officer/Director/Trustee Two

MICHAEL SILVERSTEIN
DIRECTOR
9718 CARMELO COURT
CLARENCE CENTER NY 14032

Officer/Director/Trustee Three

DAVID STEPHAN
DIRECTOR
10005 CLARENCE CENTER ROAD
CLARENCE NY 14031

Officer/Director/Trustee Four

SANDY FORRESTEL
SECRETARY / DIRECTOR
4975 WINDING LANE
CLARENCE NY 14031

Officer/Director/Trustee Five

NICKY GEIGER
TREASURER / DIRECTOR
5034 ROCKHAVEN DRIVE
CLARENCE NY 14031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 ANGELA ELLIS
Signature Title PRESIDENT / DIRECTOR
Signature Date 12/12/2019

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