FORM 1023-EZ for ANDY BOYT MEMORIAL FUND

Field Data
EIN 82-3658705
Case Number EO-2018026-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDY BOYT MEMORIAL FUND
Organization’s Mailing Address 1030 OHIO AVE
City CAPE MAY
State
ZIP 8204
Accounting period End 12
Primary contact name JOHN VAN DE VAARST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE BOYT
CHAIRPERSON
1156B WASHINGTON ST
CAPE MAY NJ 8204

Officer/Director/Trustee Two

ALEX COULTER
TREASURER
241 MINDY AVE
N. CAPE MAY NJ 8204

Officer/Director/Trustee Three

SANDY CLUFF
MEMBER
1016 SHUNPIKE
CAPE MAY NJ 8204

Officer/Director/Trustee Four

CINDY LAWLER
MEMBER
6 SECOND AVE
CAPE MAY NJ 8204

Officer/Director/Trustee Five

JERRY INDERWEIS JR
SECRETARY
1159 INDIANA AVE
CAPE MAY NJ 8204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 MICHELLE BOYT
Signature Title CHAIRPERSON
Signature Date 1/24/18

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