FORM 1023-EZ for PATHFINDER ATHLETICS BOOSTER CLUB

Field Data
EIN 81-3109066
Case Number EO-2018213-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATHFINDER ATHLETICS BOOSTER CLUB
Organization’s Mailing Address PO BOX 102
City THREE RIVERS
State MA
ZIP 1080
Accounting period End 6
Primary contact name MICHELLE TEBO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE LATULIPPE
PRESIDENT
PLEASANT STREET
THREE RIVERS MA 1080

Officer/Director/Trustee Two

AMIEE FARRAR
VICE PRESIDENT
89 LAUREL ROAD
WILBRAHAM MA 1095

Officer/Director/Trustee Three

MICHELLE TEBO
TREASURER
2 GATES STREET
MONSON MA 1057

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/16
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE TEBO
Signature Title TREASURER
Signature Date 7/28/18

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