FORM 1023-EZ for KINGSWAY FIELD HOCKEY BOOSTER CLUB

Field Data
EIN 47-1461036
Case Number EO-2017240-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINGSWAY FIELD HOCKEY BOOSTER CLUB
Organization’s Mailing Address 193 LEONARD AVE
City CLARKSBORO
State NJ
ZIP 08020
Accounting period End 6
Primary contact name ANNMARIE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA FERRY
PRESIDENT
193 LEONARD AVE
CLARKSBORO NJ 08020

Officer/Director/Trustee Two

ANNMARIE BROWN
TREASURER
818 DERIUS DRIVE
MICKLETON

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2014
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: Yes
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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