FORM 1023-EZ for BOSTON BROOMBALL

Field Data
EIN 84-3979035
Case Number EO-2020016-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOSTON BROOMBALL
Organization’s Mailing Address 22 PUTNAM AVE
City CAMBRIDGE
State MA
ZIP 02139
Accounting period End 12
Primary contact name MICHAEL CROUCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CROUCH
PRESIDENT/DIRECTOR
127 HIGH RD
NEWBURY MA 01951

Officer/Director/Trustee Two

SAHIL GHANDI
TREASURER/DIRECTOR
3 REED ST
CAMBRIDGE MA 02140

Officer/Director/Trustee Three

SHANNON OBEY
CLERK/DIRECTOR
33 EATONIA ST
ALLSTON MA 02134

Organization’s website BOSTONBROOMBALL.COM
Organization’s email BOSTONBROOMBALLINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 Yes
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 MICHAEL CROUCH
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/14/2020

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