FORM 1023-EZ for HALIFAX COMMUNITY CLUB

Field Data
EIN 82-1158399
Case Number EO-2017104-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HALIFAX COMMUNITY CLUB
Organization’s Mailing Address 20 BROOK ROAD - P O BOX 27
City WEST HALIFAX
State VT
ZIP 05358-0027
Accounting period End 12
Primary contact name LAUREL COPELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREL COPELAND
PRESIDENT; CLERK
1513 HANSON ROAD
BRATTLEBORO VT 05301-9227

Officer/Director/Trustee Two

GRETCHEN BECKER
VICE-PRESIDENT
4668 VERMONT ROUTE 112
BRATTLEBORO VT 05301-9227

Officer/Director/Trustee Three

JOHN KIRK
TREASURER
20 BROOK ROAD
WEST HALIFAX VT 05358-0027

Officer/Director/Trustee Four

DORIE MIRUCKI
TRUSTEE
42 BROOK ROAD
WEST HALIFAX VT 05358-0027

Officer/Director/Trustee Five

JOAN COURSER
TRUSTEE
20 BROOK ROAD
WEST HALIFAX VT 05358-0027

Organization’s website HTTP://CZRESEARCH.COM/HALIFAX
Organization’s email HALIFAXCCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/1952
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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