FORM 1023-EZ for THE CHAMPION PROJECT INC

Field Data
EIN 47-2123202
Case Number EO-2014342-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHAMPION PROJECT INC
Organization’s Mailing Address 425 MEYER RD
City WEST SENECA
State NY
ZIP 14224
Accounting period End 12
Primary contact name KATE BRAUN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATE BRAUN
PRESIDENT
425 MEYER RD
WEST SENECA NY 14224

Officer/Director/Trustee Two

CAROLYN BELL
TREASURER/OFFICER
60 SQUIRE DR
ORCHARD PARK NY 14127

Officer/Director/Trustee Three

GAIL TYLEC
SECRETARY/OFFICER
815 NIAGARA PARKWAY
NORTH TONAWANDA NY 14120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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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