FORM 1023-EZ for CLEVELAND HILL SPORTS BOOSTER CLUB

Field Data
EIN 81-3588715
Case Number EO-2016327-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEVELAND HILL SPORTS BOOSTER CLUB
Organization’s Mailing Address 36 HILLSBORO ROAD
City CHEEKTOWAGA
State NY
ZIP 14225
Accounting period End 6
Primary contact name KIM GRANTHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK JONES
PRESIDENT
36 HILLSBORO ROAD
CHEEKTOWAGA NY 14225

Officer/Director/Trustee Two

STACY BETZ
VICE PRESIDENT
811 CLEVELAND DRIVE
CHEEKTOWAGA NY 14225

Officer/Director/Trustee Three

KIM GRANTHAM
TREASURER
65 WOODRIDGE AVENUE
CHEEKTOWAGA NY 14225

Officer/Director/Trustee Four

MARY ISCH
SECRETARY
59 HILLSIDE AVENUE
CHEEKTOWAGA NY 14225

Organization’s website HTTP://CLEVEHILL.WNYRIC.ORG/WEBPAGES/BOOSTERCLUB/INDEX.CFM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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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