FORM 1023-EZ for CLINTON DANCE BOOSTER CLUB

Field Data
EIN 82-1210668
Case Number EO-2017198-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLINTON DANCE BOOSTER CLUB
Organization’s Mailing Address 175 CEDAR ST
City CLINTON
State MA
ZIP 01510
Accounting period End 12
Primary contact name AMY SCAVONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY SCAVONE
CO-PRESIDENT
175 CEDAR ST
CLINTON MA 01510

Officer/Director/Trustee Two

SHANNON GIANSANTI
CO-PRESIDENT
68 RICHMAN ST
CLINTON MA 01510

Officer/Director/Trustee Three

KIM CALDERWOOD
CO-VICE PRESIDENT
176 GREELEY STREET
CLINTON MA 01510

Officer/Director/Trustee Four

MICHELE HOULE
CO-VICE PRESIDENT
66 CEDAR ST
CLINTON MA 01510

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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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