FORM 1023-EZ for NORTHPORT BOYS LACROSSE BOOSTER CLUB INC

Field Data
EIN 82-3591396
Case Number EO-2019135-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHPORT BOYS LACROSSE BOOSTER CLUB INC
Organization’s Mailing Address 8 CARLL CT
City NORTHPORT
State NY
ZIP 11768
Accounting period End 9
Primary contact name MARIE DIAZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE DIAZ
TREASURER
8 CARLL CT
NORTHPORT NY 11768

Officer/Director/Trustee Two

LAURA RONAN
PRESIDENT
807 8TH STREET
EAST NORTHPORT NY 11731

Officer/Director/Trustee Three

SALVATORE MICCIO
VICE PRESIDENT
219 HIGHLAND AVE
NORTHPORT NY 11768

Officer/Director/Trustee Four

ANNA DEMARCO
SECRETARY
298 6TH STREET
EAST NORTHPORT NY 11731

Organization’s website 4
Organization’s email NORTHPORTBOYSLAXBOOSTERCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/19
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: 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 MARIE DIAZ
Signature Title TREASURER
Signature Date 5/13/19

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