FORM 1023-EZ for LADIES DEATH AND DERBY SOCIETY INC

Field Data
EIN 47-3720444
Case Number EO-2016326-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADIES DEATH AND DERBY SOCIETY INC
Organization’s Mailing Address 3666 NORTH STREET
City MADISON
State NY
ZIP 13402-9707
Accounting period End 12
Primary contact name KRISTIN MERRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICE BRUMBACH
CHIEF EXECUTIVE OFFICER
PO BOX 304
HAMILTON NY 13346-0304

Officer/Director/Trustee Two

JESSICA BOHNDORF
CHIEF ADMINISTRATIVE OFFICER
1433 SMITH ROAD
HAMILTON NY 13346-2433

Officer/Director/Trustee Three

KRISTIN DOMINIC
CHIEF MARKETING OFFICER
5387 HILL ROAD
HAMILTON NY 13346-2042

Officer/Director/Trustee Four

KRISTIN MERRITT
CHIEF FINANCIAL OFFICER
151 LEONARD AVENUE
SYRACUSE NY 13205-3244

Organization’s website DEATHANDDERBY.COM
Organization’s email DEATHANDDERBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2015
Organization Incorporation State NY
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: 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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