FORM 1023-EZ for BOOTIKI FUND INC

Field Data
EIN 47-1276736
Case Number EO-2014226-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOOTIKI FUND INC
Organization’s Mailing Address PO BOX 804
City KILLINGWORTH
State CT
ZIP 06419
Accounting period End 12
Primary contact name REBECCA ODONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL ODONNELL
PRESIDENT TRUSTEE
94 LAUREL RIDGE TRAIL
KILLINGWORTH CT 06419

Officer/Director/Trustee Two

EDWARD SMITH
SECRETARY TREASURER TRUSTEE
3480 COVENTRY PLACE
HOLLAND PA 18966

Officer/Director/Trustee Three

ELISABETH LOCKER
VICE PRESIDENT TRUSTEE
57 CHEWS LANDING ROAD
CLEMENTON NJ 08022

Officer/Director/Trustee Four

REBECCA WILLIAMS ODONNELL
EXECUTIVE DIRECTOR
94 LAUREL RIDGE TRAIL
KILLINGWORTH CT 06419

Organization’s website WWW.BOOTIKIFUND.ORG
Organization’s email CONTACT@BOOTIKIFUND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - 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 Yes
One Third Support Gifts No
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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