FORM 1023-EZ for NORTH SALEM ATHLETIC BOOSTER CLUB INC

Field Data
EIN 81-1253895
Case Number EO-2016048-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH SALEM ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address 14 LIVERY LANE
City NORTH SALEM
State NY
ZIP 10560
Accounting period End 6
Primary contact name MARY D INNOCENZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VALERIE LITTENBERG
PRESIDENT
14 LIVERY LANE
NORTH SALEM NY 10560

Officer/Director/Trustee Two

MARY D INNOCENZO
TREASURER
12 SUN VALLEY DRIVE
NORTH SALEM NY 10560

Officer/Director/Trustee Three

CHRISTINE WERLAU
CO-VICE PRESIDENT
91 SEVEN OAKS LANE
BREWSTER NY 10509

Officer/Director/Trustee Four

HEATHER ELY
CO-VICE PRESIDENT
96 SEVEN OAKS LANE
BREWSTER NY 10509

Officer/Director/Trustee Five

SHARON MARINO
CO-SECRETARY
37 CROSBY ROAD
NORTH SALEM NY 10560

Organization’s website NORTHSALEMSCHOOLS.ORG/ATHLETICS/BOOSTER_CLUB_NEW
Organization’s email JMJA5@OPTONLINE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 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
Signature Title
Signature Date

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