FORM 1023-EZ for ROXBOTIX BOOSTER CLUB

Field Data
EIN 47-1833864
Case Number EO-2014275-000436
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROXBOTIX BOOSTER CLUB
Organization’s Mailing Address 1 BRYANT DRIVE
City SUCCASUNNA
State NJ
ZIP 07876
Accounting period End 9
Primary contact name LEE HAYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HILDI LIBBY
PRESIDENT
2 KELLY DRIVE
SUCCASUNNA NJ 07876

Officer/Director/Trustee Two

KRISTIN TAYLER
VICE PRESIDENT
12 WALKER AVE
SUCCASUNNA NJ 07876

Officer/Director/Trustee Three

MAUREEN WILLIAMS
TREASURER
24 BARBARA DRIVE
SUCCASUNNA NJ 07876

Officer/Director/Trustee Four

LISA MELCHERS
SECRETARY
13 Mountainview Road
Succasunna NJ 07876

Organization’s website WWW.ROXBOTIX.ORG
Organization’s email LHAYDEN@ROXBURY.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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