FORM 1023-EZ for NHS CROSS COUNTRY BOOSTER ORGANIZATION INC

Field Data
EIN 82-2737819
Case Number EO-2018180-000438
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NHS CROSS COUNTRY BOOSTER ORGANIZATION INC
Organization’s Mailing Address 66 WEST MAIN STREET
City NORTON
State MA
ZIP 2766-2713
Accounting period End 6
Primary contact name PAMELA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEEANN LECLAIRE
PRESIDENT
5 FLETCHER WAY
NORTON MA 2766-2713

Officer/Director/Trustee Two

STACEY TETRAULT
VICE PRESIDENT
2 ALLEN DRIVE
NORTON MA 2766-2713

Officer/Director/Trustee Three

LAURA DELEA
SECRETARY
12 RICHMOND DRIVE
NORTON MA 2766-2713

Officer/Director/Trustee Four

PAMELA ANDERSON
TREASURER
36 ELM STREET
NORTON MA 2766-2713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State MA
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA ANDERSON
Signature Title TREASURER
Signature Date 6/27/18

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