FORM 1023-EZ for HORSEHEADS GIRLS BASKETBALL BOOSTERCLUB

Field Data
EIN 84-3424277
Case Number EO-2019296-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HORSEHEADS GIRLS BASKETBALL BOOSTERCLUB
Organization’s Mailing Address 1004 SULLIVAN ST
City ELMIRA
State NY
ZIP 14901
Accounting period End 12
Primary contact name PAT BONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK BONNELL
TREASURER
127 TALARICO ROAD
HORSEHEADS NY 14845

Officer/Director/Trustee Two

ANDREW SCOTT
MEMBER
26 MANOR CIRCLE
ELMIRA NY 14903

Officer/Director/Trustee Three

JERRY LANEY
MEMBER
94 COUNTRY CLUB DRIVE
ELMIRA NY 14905

Officer/Director/Trustee Four

TOM CASEY
PRESIDENT
3274 STONEYBROOK ROAD
HORSEHEADS NY 14845

Officer/Director/Trustee Five

JESSICA CASEY
SECRETARY
3274 STONEYBROOK ROAD
HORSEHEADS NY 14845

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/19
Organization Incorporation State NY
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: 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 PATRICK BONNELL
Signature Title TREASURER
Signature Date 10/21/19

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