FORM 1023-EZ for KETCHAM FOOTBALL BOOSTER CLUB INC

Field Data
EIN 82-3455731
Case Number EO-2018107-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KETCHAM FOOTBALL BOOSTER CLUB INC
Organization’s Mailing Address 10 CARROLL DRIVE
City WAPPINGERS FALLS
State NY
ZIP 12590
Accounting period End 12
Primary contact name NICOLE RUFINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MARSALA
PRESIDENT
3 HEARTHSTONE DR
WAPPINGERS FALLS NY 12590

Officer/Director/Trustee Two

SALLY JADUS
VICE PRESIDENT
13 DEGARMO HILLS RD
WAPPINGERS FALLS NY 12590

Officer/Director/Trustee Three

NICOLE RUFINO
TREASURER
10 CARROLL DR
WAPPINGERS FALLS NY 12590

Officer/Director/Trustee Four

JOLYNN DOLACK
SECRETARY/TREASURER
40 BRENTWOOD DR
POUGHKEEPSIE NY 12603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 NICOLE RUFINO
Signature Title TREASURER
Signature Date 3/26/18

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