FORM 1023-EZ for HERMON-DEKALB BOOSTER CLUB INC

Field Data
EIN 35-2586949
Case Number EO-2017093-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERMON-DEKALB BOOSTER CLUB INC
Organization’s Mailing Address 709 E DEKALB RD
City DEKALB JUNCTION
State NY
ZIP 13630
Accounting period End 12
Primary contact name ELIZABETH HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH HOLLAND
PRESIDENT
310 RISLEY ROAD
DEKALB JUNCTION NY 13630

Officer/Director/Trustee Two

SHEILA BRICE-CONKLIN
VICE PRESIDENT
2654 STATE HIGHWAY 812
DEKALB JUNCTION NY 13630

Officer/Director/Trustee Three

MICHAEL ROBINSON
SECRETARY
48 EAST DEKALB ROAD
HERMON NY 13652

Officer/Director/Trustee Four

SONDRA BOUCHEY
TREASURER
100 WASHINGTON STREET
HERMON NY 13652

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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
Signature Title
Signature Date

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