FORM 1023-EZ for TOLLAND HIGH SCHOOL BOOSTER CLUB

Field Data
EIN 45-4080456
Case Number EO-2017227-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOLLAND HIGH SCHOOL BOOSTER CLUB
Organization’s Mailing Address 1 EAGLE HILL DRIVE
City TOLLAND
State CT
ZIP 06084
Accounting period End 8
Primary contact name LISA KLUKAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE CLOKEY
CO-PRESIDENT
29 TOLLAND FARMS ROAD
TOLLAND CT 06084

Officer/Director/Trustee Two

JENNIFER DINEEN
CO-PRESIDENT
69 DEREK DRIVE
TOLLAND CT 06084

Officer/Director/Trustee Three

KAREN KOVATCH
SECRETARY
32 CLARK ROAD
TOLLAND CT 06084

Officer/Director/Trustee Four

LISA KLUKAS
TREASURER
224 METCALF ROAD
TOLLAND CT 06084

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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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