FORM 1023-EZ for TEWKSBURY HIGH GIRLS BASKETBALL BOOSTER CLUB

Field Data
EIN 26-1374016
Case Number EO-2018141-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEWKSBURY HIGH GIRLS BASKETBALL BOOSTER CLUB
Organization’s Mailing Address 58 BRIDLE PATH
City TEWKSBURY
State MA
ZIP 1876
Accounting period End 12
Primary contact name PHILIP POLIMENO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARLENE MIGNON
PRESIDENT
11 OREGON ROAD
TEWKSBURY MA 1876

Officer/Director/Trustee Two

CATHERINE SANTOS
VICE PRESIDENT
44 PATRICK ROAD
TEWKSBURY MA 1876

Officer/Director/Trustee Three

PHILIP POLIMENO
TREASURER
58 BRIDLE PATH
TEWKSBURY MA 1876

Officer/Director/Trustee Four

STACEY POTITO
SECRETARY
37 KEARSAGE STREET
TEWKSBURY MA 1876

Organization’s website
Organization’s email PPOLIMENO@MEDITECH.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
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: 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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PHILIP POLIMENO
Signature Title TREASURER
Signature Date 5/17/18

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