FORM 1023-EZ for PIONEERS WRESTLING BOOSTER CLUB

Field Data
EIN 81-3741573
Case Number EO-2016265-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIONEERS WRESTLING BOOSTER CLUB
Organization’s Mailing Address 1771 INDIAN RUN ROAD
City MALVERN
State PA
ZIP 19355-9715
Accounting period End 6
Primary contact name BRIAN S VARGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERBERT HUTCHINSON
PRESIDENT
63 ANTHONY WAYNE DRIVE
WAYNE PA 19087-1425

Officer/Director/Trustee Two

BRIAN VARGO
TREASURER
1771 INDIAN RUN ROAD
MALVERN PA 19355-9715

Officer/Director/Trustee Three

TRACY AMENDOLA
VICE PRESIDENT
276 MUSKET LANE
CHESTERBROOK PA 19087-1106

Officer/Director/Trustee Four

HEATHER LAMARRE
DIRECTOR
235 VINCENT ROAD
PAOLI PA 19301-1126

Officer/Director/Trustee Five

KAREN PALOMO
DIRECTOR
694 THOMAS JEFFERSON ROAD
WAYNE PA 19087-1048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2016
Organization Incorporation State PA
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: Yes
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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