FORM 1023-EZ for SUSAN WAGNER BASKETBALL ALUMNI FUND

Field Data
EIN 26-3303971
Case Number EO-2015272-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSAN WAGNER BASKETBALL ALUMNI FUND
Organization’s Mailing Address 1200 MANOR ROAD
City STATEN ISLAND
State NY
ZIP 10314
Accounting period End 12
Primary contact name CHRISTOPHER R SMITH CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD COSTELLO
PRESIDENT
91 FIELDS AVENUE
STATEN ISLAND NY 10314

Officer/Director/Trustee Two

DAVID ALBERTSON
VICE PRESIDENT
89 CASCADES AVENUE
HOWELL NJ 07731

Officer/Director/Trustee Three

KEVIN MURPHY
TREASURER
119 PETRUS AVENUE
STATEN ISLAND NY 10312

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2008
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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