FORM 1023-EZ for TEAL BLACK AND BLUE BOOSTERS

Field Data
EIN 46-2161383
Case Number EO-2016067-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAL BLACK AND BLUE BOOSTERS
Organization’s Mailing Address 36 ROWE COURT
City LACONIA
State NH
ZIP 03246
Accounting period End 5
Primary contact name TAMI WICKENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTIE FLECK
PRESIDENT
113 COUNTRY CLUB RD
GILFORD NH 03249

Officer/Director/Trustee Two

TAMI WICKENS
TREASURER
2 BEAN HILL RD
NORTHFIELD NH 03276

Officer/Director/Trustee Three

CRYSTAL CARTER HARDY
SECRETARY
369 HOME RD
BELMONT NH 03220

Officer/Director/Trustee Four

TRISHIA LAFLAMME GRIFFIN
VICE PRESIDENT
23 LISCOMB CR UNIT 21
GILFORD NH 03249

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2013
Organization Incorporation State NH
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: 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
Signature Title
Signature Date

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