FORM 1023-EZ for MONTGOMERY PG DC BOYS AND GIRLS CLUB INC

Field Data
EIN 82-1420999
Case Number EO-2017293-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MONTGOMERY PG DC BOYS AND GIRLS CLUB INC
Organization’s Mailing Address 3900 HAMILTON ST D304
City HYATTSVILLE
State MD
ZIP 20781
Accounting period End 9
Primary contact name MARKEET JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARKEET JOHNSON
PRESIDENT
3900 HAMILTON ST
HYATTSVILLE MD 20781

Officer/Director/Trustee Two

ADRIANA GREEN
TREASURER
3900 HAMILTON ST
HYATTSVILLE MD 20781

Officer/Director/Trustee Three

ANGELA JACKSON
VICE PRESIDENT
3900 HAMILTON ST
HYATTSVILLE MD 20781

Officer/Director/Trustee Four

ANN WARRICK
SECRETARY
3900 HAMILTON ST
HYATTSVILLE MD 20781

Organization’s website N/A
Organization’s email MPDATHLETICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O23 - Boys and Girls Clubs (Combined)
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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