FORM 1023-EZ for CHICOPEE HIGH SCHOOL GRIDIRON CLUBINC

Field Data
EIN 43-3395437
Case Number EO-2014338-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICOPEE HIGH SCHOOL GRIDIRON CLUBINC
Organization’s Mailing Address PO BOX 232
City CHICOPEE
State MA
ZIP 01021-0232
Accounting period End 12
Primary contact name LISA CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA CAMPBELL
PRESIDENT
5C MANSION WOODS DRIVE
AGAWAM MA 01001

Officer/Director/Trustee Two

CHRISTOPHER ESTEY
TREASURER
39 CHARLES STREET
CHICOPEE MA 01020

Officer/Director/Trustee Three

JENNIFER FAIRBANKS
SECRETARY
83 CLARK STREET
CHICOPEE MA 01020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/1971
Organization Incorporation State MA
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: No
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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