FORM 1023-EZ for SPENCER BASKETBALL CLUB

Field Data
EIN 47-5448675
Case Number EO-2018282-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPENCER BASKETBALL CLUB
Organization’s Mailing Address 76 PAXTON ROAD
City SPENCER
State MA
ZIP 1562
Accounting period End 12
Primary contact name LESLIE BURGOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL FOURNIER
PRESIDENT
76 PAXTON ROAD
SPENCER MA 1562

Officer/Director/Trustee Two

DANIEL MCLAUGHLIN
VICE PRESIDENT
200 CHARLTON ROAD
SPENCER MA 1562

Officer/Director/Trustee Three

SHARON SHIVICK
SECRATARY
66 BORKUM ROAD
SPENCER MA 1562

Officer/Director/Trustee Four

LESLIE BURGOS
TREASURER
28 PLEASANT ST APT 2
SPENCER MA 1562

Officer/Director/Trustee Five

SAMANTHA SCULL-LOPEZ
VICE PRESIDENT ADMINISTRATION
42 FRANKLIN STREET
LEICESTER MA 1524

Organization’s website WWW.SPENCERBASKETBALL.CLUB
Organization’s email SPENCERBASKETBALLCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/15
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 PAUL FOURNIER
Signature Title PRESIDENT
Signature Date 10/3/18
EIN 47-5448675
Case Number EO-2015320-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPENCER BASKETBALL CLUB INC
Organization’s Mailing Address 10 TAYLOR DRIVE
City SPENCER
State MA
ZIP 01562
Accounting period End 12
Primary contact name CHRISTOPHER BOKIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER BOKIS
PRESIDENT
10 TAYLOR DRIVE
SPENCER MA 01562

Officer/Director/Trustee Two

DAVID WOODWARD
VICE PRESIDENT
269 CHARLTON RD
SPENCER MA 01562

Officer/Director/Trustee Three

SAMANTHA LOPEZ
CLERK
100 PINE STREET
LEICESTER MA 01524

Officer/Director/Trustee Four

MICHELLE BOKIS
TREASURER
10 TAYLOR DRIVE
SPENCER MA 01562

Officer/Director/Trustee Five

STEVEN THEBODO
BOARD MEMBER
129 HARRINGTON LANE
E BROOKFIELD MA 01515

Organization’s website SPENCERBASKETBALL.CLUB
Organization’s email SPENCERBASKETBALLCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State MA
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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