FORM 1023-EZ for HENDERSON CROSS COUNTRY AND TRACK BOOSTERS

Field Data
EIN 47-4408856
Case Number EO-2015217-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENDERSON CROSS COUNTRY AND TRACK BOOSTERS
Organization’s Mailing Address 400 MONTGOMERY AVENUE C/O K KELLY
City WEST CHESTER
State PA
ZIP 19380
Accounting period End 12
Primary contact name DAVID SMUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID SMUCKER
TREASURER
838 W MINER ST
WEST CHESTER PA 19382

Officer/Director/Trustee Two

MARIA DYCHALA
PRESIDENT
1242 HAMILTON DR
WEST PA 19380

Officer/Director/Trustee Three

MARGARET GAMBLE
VICE PRESIDENT
335 N FRANKLIN ST
WEST CHESTER PA 19380

Officer/Director/Trustee Four

JEANNE K CROTTY ROTH
SECRETARY
971 NORTH PENN DRIVE
WEST CHESTER PA 19380

Officer/Director/Trustee Five

KEVIN KELLY
REGISTRAR
400 MONTGOMERY AVE
WEST CHESTER PA 19380

Organization’s website PENDING
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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