FORM 1023-EZ for ARDSLEY PANTHERS BOOSTER CLUB INC

Field Data
EIN 46-4926903
Case Number EO-2014223-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARDSLEY PANTHERS BOOSTER CLUB INC
Organization’s Mailing Address 24 REVERE ROAD
City ARDSLEY
State NY
ZIP 10502
Accounting period End 8
Primary contact name JOANNA KHYM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT WOOTTEN
CO-PRESIDENT
17 FULLER AVENUE
ARDSLEY NY 10502

Officer/Director/Trustee Two

JOHN ROSENFELD
CO-PRESIDENT
4 IVY PLACE
HARTSDALE NY 10530

Officer/Director/Trustee Three

JODIE SIEGEL
VP
2 ROCKRIDGE ROAD
ARDSLEY NY 10502

Officer/Director/Trustee Four

LYNNE LOCCISANO
SECRETARY
148 FOREST BLVD
ARDSLEY NY 10530

Officer/Director/Trustee Five

JOANNA KHYM
TREASURER
24 REVERE ROAD
ARDSLEY NY 10502

Organization’s website HTTP://HS.ARDSLEYSCHOOLS.ORG/DOWNLOAD.AXD?FILE=FD1E7A42-B3A1-4002-80F5-AC0310FE32BEDNLDTYPE=RESOURCE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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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