FORM 1023-EZ for DAVID PROUTY HIGH SCHOOL ATHLETIC BOOSTER CLUB INC

Field Data
EIN 20-2275054
Case Number EO-2017131-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVID PROUTY HIGH SCHOOL ATHLETIC BOOSTER CLUB INC
Organization’s Mailing Address PO BOX 444
City SPENCER
State MA
ZIP 01562
Accounting period End 6
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA MORIN-BERNARD
PRESIDENT
FITZGERALD RD
CHARLTON MA 01507

Officer/Director/Trustee Two

BYRON DEANE
TREASURER
95 MECHANIC ST
SPENCER MA 01562

Officer/Director/Trustee Three

JOAN PETRUZZI
SECRETARY
112 KNOX TRAIL RD
EAST BROOKFIELD MA 01515

Officer/Director/Trustee Four

TARA DONAHUE
VICE PRESIDENT
BIXBY RD
SPENCER MA 01562

Officer/Director/Trustee Five

DANIELLE DEANE
DIRECTOR
95 MECHANIC ST
SPENCER MA 01562

Organization’s website HTTP://WWW.DPHSSPORTSBOOSTERCLUB.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2005
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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
Signature Title
Signature Date

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