FORM 1023-EZ for BEDFORD HIGH SCHOOL SOCCER BOOSTERS

Field Data
EIN 81-3795604
Case Number EO-2016257-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEDFORD HIGH SCHOOL SOCCER BOOSTERS
Organization’s Mailing Address 330 E JOHN ST
City BEDFORD
State PA
ZIP 15522
Accounting period End 6
Primary contact name BRAD KOONTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISSIE KLINGER
PRESIDENT
2061 DIBERT RD
BEDFORD PA 15522

Officer/Director/Trustee Two

NICOLE DONAHOE
SECRETARY
134 ROLLING HILLS LN
BEDFORD PA 15522

Officer/Director/Trustee Three

GWEN QUERRY
TREASURER
211 MILL RIDGE RD
EVERETT PA 15537

Officer/Director/Trustee Four

NANCY PYLE
BOARD
840 S JULIANA ST
BEDFORD PA 15522

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