FORM 1023-EZ for ESSEX STING BASKETBALL CLUB INC

Field Data
EIN 47-2155441
Case Number EO-2018057-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESSEX STING BASKETBALL CLUB INC
Organization’s Mailing Address 24 KILLORAN DR
City ESSEX JUNCTION
State VT
ZIP 5452
Accounting period End 12
Primary contact name MELISSA ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN GILLIAM
PRESIDENT
18 FREEMAN WOODS 4
ESSEX JUNCTION VT 5452

Officer/Director/Trustee Two

MELISSA ADAMS
TREASURER
24 KILLORAN DR
ESSEX JUNCTION VT 5452

Officer/Director/Trustee Three

JEROMY PAQUETTE
SECRETARY
12 ADAMS CT
ESSEX JUNCTION VT 5452

Officer/Director/Trustee Four

ADAM RABIDOUX
DIRECTOR
16 TYLER DR
ESSEX JUNCTION VT 5452

Officer/Director/Trustee Five

CHRISTOPHER BAKER
DIRECTOR
13 THISTLE LANE
ESSEX JUNCTION VT 5452

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/14
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA ADAMS
Signature Title TREASURER
Signature Date 2/22/18

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