FORM 1023-EZ for MILLBURN FIELD HOCKEY BOOSTERS INC

Field Data
EIN 22-3419190
Case Number EO-2018337-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILLBURN FIELD HOCKEY BOOSTERS INC
Organization’s Mailing Address 462 MILLBURN AVENUE
City MILLBURN
State NJ
ZIP 7041
Accounting period End 12
Primary contact name WENDY ARATEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA POLICARPIO
PRESIDENT
35 WALNUT AVENUE
MILLBURN NJ 7041

Officer/Director/Trustee Two

SHEETAL MUHLON
PRESIDENT
12 HOBART GAP ROAD
SHORT HILLS NJ 7078

Officer/Director/Trustee Three

SHELLEY GULA
VICE PRESIDENT
123 HOBART AVENUE
SHORT HILLS NJ 7078

Officer/Director/Trustee Four

WENDY ARATEN
TREASURER
89 OAKVIEW TERRACE
SHORT HILLS NJ 7078

Officer/Director/Trustee Five

AMY KOTEL
SECRETARY
35 ADAMS AVENUE
SHORT HILLS NJ 7078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/96
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WENDY ARATEN
Signature Title TREASURER
Signature Date 12/1/18
EIN 22-3419190
Case Number EO-2015040-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLBURN FIELD HOCKEY BOOSTERS INC
Organization’s Mailing Address 462 MILLBURN AVENUE
City MILLBURN
State NJ
ZIP 07041
Accounting period End 12
Primary contact name DIANE SIEGEL OR DAVE GRAZIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHELLEY GULA
PRESIDENT
123 HOBART AVE
SHORT HILLS NJ 07078

Officer/Director/Trustee Two

SUE BEAN
CO-PRESIDENT
18 OAK HILL RD
SHORT HILLS NJ 07078

Officer/Director/Trustee Three

DIANE SIEGEL
VICE PRESIDENT
296 LUPINE WAY
SHORT HILLS NJ 07078

Officer/Director/Trustee Four

DAVE GRAZIANO
TREASURER
121 SLOPE DR
SHORT HILLS NJ 07078

Officer/Director/Trustee Five

SHARON PORTNOI
SECRETARY
62 FAIRFIELD DR
SHORT HILLS NJ 07078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1996
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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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