FORM 1023-EZ for MASCONOMET VARSITY GIRLS HOCKEY BOOSTER CLUB

Field Data
EIN 47-2005827
Case Number EO-2014281-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASCONOMET VARSITY GIRLS HOCKEY BOOSTER CLUB
Organization’s Mailing Address 20 EMERSON STREET
City PEABODY
State MA
ZIP 01960
Accounting period End 6
Primary contact name KAREN HODGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY VALETTI
PRESIDENT
20 EMERSON STREET
PEABODY MA 01960

Officer/Director/Trustee Two

KAREN HODGE
TREASURER
13 LONGFELLOW DRIVE
NEWBURYPORT MA 01950

Officer/Director/Trustee Three

PAMELA HUBBARD
SECRETARY
60 LOW STREET
NEWBURYPORT MA 01950

Officer/Director/Trustee Four

PAUL CRISCIONE
DIRECTOR
15 BERRY PATCH LANE
BOXFORD MA 01921

Officer/Director/Trustee Five

CHRISTOPHER MONER
DIRECTOR
400 CENTRAL STREET
GEORGETOWN MA 01833

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2013
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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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