FORM 1023-EZ for JIMINY PEAK RACE TEAM PARENTS ASSOCIATION

Field Data
EIN 46-2177109
Case Number EO-2015013-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JIMINY PEAK RACE TEAM PARENTS ASSOCIATION
Organization’s Mailing Address 40 BEECH RD
City NEW ROCHELLE
State NY
ZIP 10804-4304
Accounting period End 12
Primary contact name JORDAN L FIELDSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER LINDBERG
PRESIDENT/DIRECTOR
645 FRISBEE ST
EAST CHATHAM NY 12060-2606

Officer/Director/Trustee Two

JUDY CASEY
SECRETARY/DIRECTOR
18 WILDWOOD RD
LARCHMONT NY 10538-1525

Officer/Director/Trustee Three

EDWIN ROSEBERRY
VICE PRESIDENT/DIRECTOR
40 BEECH RD
NEW ROCHELLE NY 10804-4304

Organization’s website WWW.JIMINYPEAKRACETEAM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2013
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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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