FORM 1023-EZ for SOUTH FORK LACROSSE BOOSTER CLUB INC

Field Data
EIN 83-3792818
Case Number EO-2019092-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH FORK LACROSSE BOOSTER CLUB INC
Organization’s Mailing Address 10 FAIRBANKS COURT
City WATER MILL
State NY
ZIP 11976
Accounting period End 12
Primary contact name ANDREA MARRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIDGET FLEMING
DIRECTOR
46 PINENECK AVE
SAG HARBOR NY 11963

Officer/Director/Trustee Two

ANDREA MARRO
DIRECTOR
10 FAIRBANKS CT
WATER MILL NY 11976

Officer/Director/Trustee Three

THOMAS COOPER
DIRECTOR
78 LONG LN
EAST HAMPTON NY 11937

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - 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 Yes
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 ANDREA MARRO
Signature Title DIRECTOR
Signature Date 3/28/19

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