FORM 1023-EZ for HORSEHEADS GIRLS VARSITY SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 84-2410023
Case Number EO-2019207-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HORSEHEADS GIRLS VARSITY SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address 340 VETERAN HILL ROAD
City HORSEHEADS
State NY
ZIP 14845
Accounting period End 12
Primary contact name ELAINE BENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELAINE BENTON
PRESIDENT
340 VETERAN HILL ROAD
HORSEHEADS NY 14845

Officer/Director/Trustee Two

MEGAN JANESKI
VICE PRESIDENT
6 REDWING LANE
HORSEHEADS NY 14845

Officer/Director/Trustee Three

ERICA VERKLEEREN
SECRETARY
356 EACHER HOLLOW RD
HORSEHEADS NY 14845

Officer/Director/Trustee Four

PENNI TENEYCK
TREASURER
69 GOSS RD
ELMIRA HEIGHTS NY 14903

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
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 Yes
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 ELAINE BENTON
Signature Title PRESIDENT
Signature Date 7/24/19

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