FORM 1023-EZ for MOUNTAINEERS BOOSTER CLUB INC

Field Data
EIN 43-3145447
Case Number EO-2015299-000436
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNTAINEERS BOOSTER CLUB INC
Organization’s Mailing Address 1401 MAIN STREET
City HOLDEN
State MA
ZIP 01520-1072
Accounting period End 6
Primary contact name PATRICIA WALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN STONE
PRESIDENT
53 COURTNEY DRIVE
HOLDEN MA 01520-3007

Officer/Director/Trustee Two

PATRICIA WALTON
TREASURER
156 JENNIFER DRIVE
HOLDEN MA 01520-3013

Officer/Director/Trustee Three

TANYA LOMINO
SECRETARY
162 BRITNEY DRIVE
HOLDEN MA 01520-3002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/1981
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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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