FORM 1023-EZ for SOMERVILLE WRESTLING BOOSTER CLUB

Field Data
EIN 20-5858872
Case Number EO-2014287-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOMERVILLE WRESTLING BOOSTER CLUB
Organization’s Mailing Address 39 PRESTON DRIVE
City BRANCHBURG
State NJ
ZIP 08876
Accounting period End 12
Primary contact name KAREN MINETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARRY DRILL
PRESIDENT
513 BARTON LANE
BRANCHBURG NJ 08853

Officer/Director/Trustee Two

KAREN MINETTE
VICE PRESIDENT/TREASURER
39 PRESTON DRIVE
BRANCHBURG NJ 08876

Officer/Director/Trustee Three

ROBERTA BRUSKIN
SECRETARY
116 WINDY WILLOW WAY
BRANCHBURG NJ 08876

Organization’s website SHSWRESTLING.ORG
Organization’s email BDRILL513@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2006
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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