FORM 1023-EZ for BEDFORD BOYS BASKETBALL 6TH MAN CLUB BOOSTERS

Field Data
EIN 82-1826532
Case Number EO-2017186-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEDFORD BOYS BASKETBALL 6TH MAN CLUB BOOSTERS
Organization’s Mailing Address 2983 UPPER SNAKE SPRING RD
City EVERETT
State PA
ZIP 15537
Accounting period End 6
Primary contact name TERESA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE J MERRITT
PRESIDENT
193 FLYING DUTCHMAN RD
BEDFORD PA 15522

Officer/Director/Trustee Two

JILL L GROWDEN
VICE PRESIDENT
449 N JULIANA ST
BEDFORD PA 15522

Officer/Director/Trustee Three

KRISTI L ARNOLD
SECRETARY
2837 CHALYBEATE RD
BEDFORD PA 15522

Officer/Director/Trustee Four

TERESA L WILSON
TREASURER
2983 UPPER SNAKE SPRING RD
EVERETT PA 15537

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2006
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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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