FORM 1023-EZ for CAMP SPRINGS BOYS AND GIRLS CLUB INC

Field Data
EIN 27-5288463
Case Number EO-2016077-000018
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP SPRINGS BOYS AND GIRLS CLUB INC
Organization’s Mailing Address PO BOX 32
City TEMPLE HILLS
State MD
ZIP 20748
Accounting period End 2
Primary contact name FRED CROWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRED CROWELL
PRESIDENT
9498 NOTTINGHAM DRIVE
UPPER MARLBORO MD 20772

Officer/Director/Trustee Two

NANCY MYERS-STREETER
VICE PRESIDENT
3102 MARILYN DRIVE
TEMPLE HILLS MD 20748

Officer/Director/Trustee Three

KESHA FRISBY
TREASURER
7911 PINEWOOD DRIVE
CLINTON MD 20735

Officer/Director/Trustee Four

TIMOTHY FREELON
BOARD MEMBER
2698 BASINGSTOKE LANE
BRYANS ROAD MD 20616

Officer/Director/Trustee Five

KARRIEM DICKENS
BOARD MEMBER
9052 HARDESTY DRIVE
CLINTON MD 20735

Organization’s website WWW.CSBGC.ORG
Organization’s email CAMPSPRINGSTIGERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/1968
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O23 - Boys and Girls Clubs (Combined)
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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