FORM 1023-EZ for PATRIOTS LAX BOOSTERS

Field Data
EIN 82-3311942
Case Number EO-2018117-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRIOTS LAX BOOSTERS
Organization’s Mailing Address 202 CHASE RD
City PORTSMOUTH
State RI
ZIP 2871
Accounting period End 6
Primary contact name MAX ESSERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAX ESSERY
DIRECTOR
148 HARGRAVES DRIVE
PORTSMOUTH RI 2871

Officer/Director/Trustee Two

JASON CIANCIOLO
DIRECTOR
51 LAWRENCE DRIVE
PORTSMOUTH RI 2871

Officer/Director/Trustee Three

LEE DOOLEY
DIRECTOR
7 FIELDSTONE DRIVE
PORTSMOUTH RI 2871

Officer/Director/Trustee Four

SARAH TOWNSEND
DIRECTOR
213 HOMESTEAD LANE
PORTSMOUTH RI 2871

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/17
Organization Incorporation State RI
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 MAX ESSERY
Signature Title DIRECTOR
Signature Date 4/25/18

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