FORM 1023-EZ for PULASKI SPORTS BOOSTER CLUB INCORPORATED

Field Data
EIN 16-1070518
Case Number EO-2014351-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PULASKI SPORTS BOOSTER CLUB INCORPORATED
Organization’s Mailing Address PO BOX 103
City PULASKI
State NY
ZIP 13142
Accounting period End 7
Primary contact name HERMAN C JORDAL III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL PATERNOSTER
PRESIDENT
4715 SALINA STREET
PULASKI NY 13142

Officer/Director/Trustee Two

HERMAN JORDAL III
VICE PRESIDENT
799 COUNTY ROUTE 28
PULASKI NY 13142

Officer/Director/Trustee Three

KIMBERLY VROOMAN
SECRETARY - TREASURER
1515 COUNTY ROUTE 41
PULASKI NY 13142

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/1977
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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