FORM 1023-EZ for HHS VARSITY GIRLS SOCLAX

Field Data
EIN 46-5334788
Case Number EO-2015110-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HHS VARSITY GIRLS SOCLAX
Organization’s Mailing Address 11 JAMES ROAD
City HARRISON
State NY
ZIP 10528
Accounting period End 12
Primary contact name JODY ROLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMARA NELSON
PRESIDENT
58 STONEWALL CIRCLE
WEST HARRISON NY 10604

Officer/Director/Trustee Two

JODY ROLLINS
TREASURER
11 JAMES ROAD
HARRISON NY 10528

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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