FORM 1023-EZ for BARSTOW YOUTH CLUB INC

Field Data
EIN 35-2622433
Case Number EO-2018106-000508
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARSTOW YOUTH CLUB INC
Organization’s Mailing Address 71 ALLEN STREET SUITE 401
City RUTLAND
State VT
ZIP 5701
Accounting period End 12
Primary contact name CHRISTOPHER W BLANCHARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER BLANCHARD
DIRECTOR
71 ALLEN STREET SUITE 401
RUTLAND VT 5701

Officer/Director/Trustee Two

JAMIE GALLAGHER
DIRECTOR
71 ALLEN STREET SUITE 401
RUTLAND VT 5701

Officer/Director/Trustee Three

VICKI NAPOLITANO
DIRECTOR
71 ALLEN STREET SUITE 401
RUTLAND VT 5701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/12
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 CHRISTOPHER BLANCHARD
Signature Title DIRECTOR
Signature Date 4/11/18

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