FORM 1023-EZ for MUSTANG CLUB

Field Data
EIN 84-1894526
Case Number EO-2019164-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSTANG CLUB
Organization’s Mailing Address 18 MAPLE STREET
City PUTNAM
State CT
ZIP 6260
Accounting period End 5
Primary contact name THOMAS ESPINOSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS ESPINOSA
DEAN OF ATHLETICS
18 MAPLE STREET
PUTNAM CT 6260

Officer/Director/Trustee Two

JOSHUA SCRABA
ASST. DEAN OF ATHLETICS
18 MAPLE STREET
PUTNAM CT 6260

Officer/Director/Trustee Three

KEVIN DONOVAN
DEAN OF STUDENTS
18 MAPLE STREET
PUTNAM CT 6260

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: No
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 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 THOMAS ESPINOSA
Signature Title DEAN OF ATHLETICS
Signature Date 6/11/19

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