FORM 1023-EZ for PA BOOSTERS
| Field | Data |
|---|---|
| EIN | 84-3548945 |
| Case Number | EO-2020230-000582 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PA BOOSTERS |
| Organization’s Mailing Address | 24023 NE SHEA LN UNIT 105 |
| City | WOOD VILLAGE |
| State | OR |
| ZIP | 97060 |
| Accounting period End | 4 |
| Primary contact name | MANDI ROZELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MANDI ROZELL
DIRECTOR
6745
GLADSTONE OR 97027
Officer/Director/Trustee Two
KARYL BRADY
OFFICER
24023 NE SHEA LN UNIT 105
WOOD VILLAGE OR 97060
Officer/Director/Trustee Three
DEBORA SANDERSON
OFFICER
24023 NE SHEA LN UNIT 105
WOOD VILLAGE OR 97060
Officer/Director/Trustee Four
AMANDA TRUJILLO
OFFICER
24023 NE SHEA LN UNIT 105
WOOD VILLAGE OR 97060
Officer/Director/Trustee Five
MICHELLE BRADLEY
OFFICER
24023 NE SHEA LN UNIT 105
WOOD VILLAGE OR 97060
| Organization’s website | FACEBOOK.COM/PABOOSTERCLUB |
|---|---|
| Organization’s email | PABOOSTERSCLUB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/31/2019 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N11 - Single Organization Support |
| 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 | Yes |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MANDI ROZELL |
| Signature Title | DIRECTOR |
| Signature Date | 8/14/2020 |
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