FORM 1023-EZ for SHENENDEHOWA GIRLS SOCCER BOOSTER CLUB

Field Data
EIN 14-1798519
Case Number EO-2017195-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHENENDEHOWA GIRLS SOCCER BOOSTER CLUB
Organization’s Mailing Address ACADIA MS 970 ROUTE 146
City CLIFTON PARK
State NY
ZIP 12065-9376
Accounting period End 10
Primary contact name HOLLI NIRSBERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA KIRKER
PRESIDENT
21 MALLARD DRIVE
REXFORD NY 12148-1515

Officer/Director/Trustee Two

DEBORAH GUARRACINO
TREASURER
47 TIPPERARY LANE
BALLSTON LAKE NY 12019-9800

Officer/Director/Trustee Three

CATHERINE SMITH
VICE PRESIDENT
11 SANDPIPER LANE
REXFORD NY 12148-1515

Organization’s website SHENGIRLSSOCCER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/1997
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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