FORM 1023-EZ for SCHUYLERVILLE BLACK HORSES BOOSTERCLUB INC

Field Data
EIN 36-4771244
Case Number EO-2014322-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCHUYLERVILLE BLACK HORSES BOOSTERCLUB INC
Organization’s Mailing Address 14-16 SPRING STREET
City SCHUYLERVILLE
State NY
ZIP 12871
Accounting period End 12
Primary contact name JAMES R BURKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER GRIFFIN
PRESIDENT
280 ROUTE 32 SOUTH
SCHUYLERVILLE NY 12871

Officer/Director/Trustee Two

KEN NEVINS
VICE PRESIDENT
113 GATES AVENUE
SCHUYLERVILLE NY 12871

Officer/Director/Trustee Three

SARON CONGDON
CO-TREASURER
37 CRAMER PATH
GANSEVOORT NY 12831

Officer/Director/Trustee Four

KARIN ROUSELLE
CO-TREASURER
199 WILBUR ROAD
STILLWATER NY 12170

Officer/Director/Trustee Five

LISA SCHWARTZ
CO-SECRETARY
316 COUNTY ROUTE 68
SARATOGA SPRINGS NY 12866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2013
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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