FORM 1023-EZ for KEENE HIGH SCHOOL GIRLS XC AND TRACK BOOSTERS CLUB

Field Data
EIN 45-3637649
Case Number EO-2016216-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEENE HIGH SCHOOL GIRLS XC AND TRACK BOOSTERS CLUB
Organization’s Mailing Address 43 ARCH STREET
City KEENE
State NH
ZIP 03431
Accounting period End 6
Primary contact name MELINDA MOSIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA MOSIER
PRESIDENT
443 WASHINGTON STREET
KEENE NH 03431

Officer/Director/Trustee Two

DARYL SCHILLEMAT
TREASURER
32 LEHI LANE
MUNSONVILLE NH 03457

Officer/Director/Trustee Three

KAREN CAGNEY
SECRETARY
54 SWEENEY ROAD
KEENE NH 03431

Officer/Director/Trustee Four

EDWARD COPPOLA
OFFICER
45 BRADFORD ROAD
KEENE NH 03431

Officer/Director/Trustee Five

GRETCHEN HOEFER
OFFICER
618 WEST STREET
KEENE NH 03431

Organization’s website
Organization’s email KEENEWOBBLEGOBBLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State NH
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: 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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