FORM 1023-EZ for MILLBURY HIGHSCHOOL ATHLETIC BOOSTER CLUB

Field Data
EIN 47-1155224
Case Number EO-2015026-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLBURY HIGHSCHOOL ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 12 MARTIN ST
City MILLBURY
State MA
ZIP 01527
Accounting period End 12
Primary contact name CHRIS KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON MATTUS
PRESIDENT
54 MCCRACKEN RD
MILLBURY MA 01527

Officer/Director/Trustee Two

ROBERT AYOTTE
VICE PRESIDENT
20 ROLLIE SHEPARD DR
MILLBURY MA 01527

Officer/Director/Trustee Three

CHRIS KENNEDY
TREASURER
24 SUNSET DR
MILLBURY MA 01527

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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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