FORM 1023-EZ for THE BRONXVILLE DERBY ASSOCIATION INC

Field Data
EIN 82-0739494
Case Number EO-2017072-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BRONXVILLE DERBY ASSOCIATION INC
Organization’s Mailing Address 55 PONDFIELD ROAD
City BRONXVILLE
State NY
ZIP 10708
Accounting period End 12
Primary contact name MICHAEL S HYMES CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HYMES
TREASURER SECRETARY
55 PONDFIELD ROAD
BRONXVILLE NY 10708

Officer/Director/Trustee Two

BRIAN BUTTIGIEG
PRESIDENT
39 WHITE PLAINS ROAD
BRONXVILLE NY 10708

Officer/Director/Trustee Three

MATTHEW WETTY
VICE PRESIDENT
7 SOUTH ROAD
BRONXVILLE NY 10708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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