FORM 1023-EZ for ALBEMARLE HIGH SCHOOL CREW BOOSTERSINC

Field Data
EIN 47-2197483
Case Number EO-2014356-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALBEMARLE HIGH SCHOOL CREW BOOSTERSINC
Organization’s Mailing Address 586 GLENGARRY CT
City EARLYSVILLE
State VA
ZIP 22936
Accounting period End 6
Primary contact name MELISSA H MACKNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAY EISENBERG
PRESIDENT
4520 SHAGBARK LANE
EARLYSVILLE VA 22936

Officer/Director/Trustee Two

MELISSA MACKNIGHT
TREASURER
3424 TURNBERRY CIRCLE
CHARLOTTESVILLE VA 22911

Officer/Director/Trustee Three

JOSEPH GIACALONE
SECRETARY
2004 BROWNSTONE LANE
CHARLOTTESVILLE VA 22901

Officer/Director/Trustee Four

LENA BRAATZ
VICE PRESIDENT
710 CARO CT
EARLYSVILLE VA 22936

Officer/Director/Trustee Five

CATHY COFFMAN
AHS CREW COACH
586 GLENGARRY CT
EARLYSVILLE VA 22936

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2014
Organization Incorporation State VA
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: 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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