FORM 1023-EZ for PENN-TRAFFORD GIRLS FIELD HOCKEY BOOSTERS

Field Data
EIN 50-0563645
Case Number EO-2016237-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENN-TRAFFORD GIRLS FIELD HOCKEY BOOSTERS
Organization’s Mailing Address ROUTE 130
City HARRISON CITY
State PA
ZIP 15636
Accounting period End 12
Primary contact name ANNETTE WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD POLAKOVSKY
PRESIDENT
17 ROSANNE CIRCLE
IRWIN PA 15642

Officer/Director/Trustee Two

ANTHONY WAGNER
VICE PRESIDENT
11 PHEASANT RUN DRIVE
EXPORT PA 15632

Officer/Director/Trustee Three

MEGAN OCHENDOWSKI
TREASURER
134 PAINTER STREET
TRAFFORD PA 15085

Officer/Director/Trustee Four

ANNETTE WILSON
SECRETARY
126 COOL SPRINGS LANE
HARRISON CITY PA 15636

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2016
Organization Incorporation State PA
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: Yes
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 Yes
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
Signature Title
Signature Date

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