FORM 1023-EZ for LONGMEADOW BOYS LACROSSE BOOSTER CLUB INC

Field Data
EIN 47-3566507
Case Number EO-2015168-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONGMEADOW BOYS LACROSSE BOOSTER CLUB INC
Organization’s Mailing Address P O BOX 60581
City LONGMEADOW
State MA
ZIP 01106
Accounting period End 12
Primary contact name BRET LEVEILLEE - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRET LEVEILLEE
PRESIDENT AND DIRECTOR
34 NORTHFIELD ROAD
LONGMEADOW MA 01106

Officer/Director/Trustee Two

CARRIE CASACELI
VICE PRESIDENT AND DIRECTOR
107 BLUEBERRY HILL ROAD
LONGMEADOW MA 01106

Officer/Director/Trustee Three

SUE GAGNE
TREASURER AND DIRECTOR
213 TWIN HILLS DRIVE
LONGMEADOW MA 01106

Officer/Director/Trustee Four

DICK JONES
CLERK-SEC AND DIRECTOR
355 ROSSITER RIDGE
ALPHARETTA GA 30022

Officer/Director/Trustee Five

MICHAEL MOSEMAN
DIRECTOR
15 FALMOUTH ROAD
LONGMEADOW MA 01106

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2015
Organization Incorporation State MA
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 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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