FORM 1023-EZ for BOUTWELL HILL SKI CLUB INC

Field Data
EIN 81-1905909
Case Number EO-2018305-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOUTWELL HILL SKI CLUB INC
Organization’s Mailing Address 3043 GIRTS RD
City JAMESTOWN
State NY
ZIP 14701
Accounting period End 5
Primary contact name ANDREW J DICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW DICKSON
PRESIDENT
3043 GIRTS RD
JAMESTOWN NY 14701-9678

Officer/Director/Trustee Two

WILLIAM SCHERMAN
VICE PRESIDENT AND SECRETARY
7111 WEST RD
CONEWANGO VALLEY NY 14726-9793

Officer/Director/Trustee Three

MICHAEL SWENSEN
BOARD MEMBER
6270B RT 5
PORTLAND NY 14769-9632

Officer/Director/Trustee Four

TERESA BRETL
BOARD MEMBER
2292 BARD RD
CHERRY CREEK NY 14723-9740

Officer/Director/Trustee Five

JOSEPH BENDER
TREASURER
38 CHAUTAUQUA AVE
LAKEWOOD NY 14750-1229

Organization’s website WWW.BOUTWELLXC.WORDPRESS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 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 ANDREW DICKSON
Signature Title PRESIDENT
Signature Date 10/30/18

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