FORM 1023-EZ for NORTH COUNTRY WHITEOUT YOUTH BASKETBALL INC

Field Data
EIN 81-4772970
Case Number EO-2018092-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH COUNTRY WHITEOUT YOUTH BASKETBALL INC
Organization’s Mailing Address 138 SCHUYLER ST
City BOONVILLE
State NY
ZIP 13309
Accounting period End 11
Primary contact name NICHOLAS PALCZAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS PALCZAK
PRESIDENT
138 SCHUYLER ST
BOONVILLE NY 13309-1005

Officer/Director/Trustee Two

KRISTY MCGRATH
VICE PRESIDENT
3467 WALKER RD
BOONVILLE NY 13309

Officer/Director/Trustee Three

ELISA PALCZAK
TREASURER
138 SCHUYLER ST
BOONVILLE NY 13309-1005

Officer/Director/Trustee Four

JESSICA VENTRIQUATTRO
SECRETARY
PO BOX 88
WEST LEYDEN NY 13489

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLAS PALCZAK
Signature Title PRESIDENT
Signature Date 3/31/18

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