FORM 1023-EZ for ENVY FIELD HOCKEY CLUB INC

Field Data
EIN 82-1559542
Case Number EO-2017139-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENVY FIELD HOCKEY CLUB INC
Organization’s Mailing Address PO BOX 121
City NEWARK VALLEY
State NY
ZIP 13811
Accounting period End 12
Primary contact name JESSICA DOEHRING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY GORSLINE
PRESIDENT/DIRECTOR
59 WHIG STREET
NEWARK VALLEY NY 13811

Officer/Director/Trustee Two

CAROLYN SLAVIK
VICE PRESIDENT/DIRECTOR
239 ANTOINETTE DRIVE
ENDICOTT NY 13760

Officer/Director/Trustee Three

TANYA NASH
TREASURER/DIRECTOR
1377 STATE ROUTE 38B
NEWARK VALLEY NY 13811

Officer/Director/Trustee Four

BETH MALONE
SECRETARY/DIRECTOR
588 PULTZ HILL ROAD
OWEGO NY 13827

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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
Signature Title
Signature Date

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