FORM 1023-EZ for POTTSVILLE AREA SOAP BOX DERBY

Field Data
EIN 47-3101858
Case Number EO-2015054-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POTTSVILLE AREA SOAP BOX DERBY
Organization’s Mailing Address 527 HOTEL STREET
City POTTSVILLE
State PA
ZIP 17901
Accounting period End 12
Primary contact name BARBARA CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA CARROLL
PRESIDENT/DIRECTOR
17 SOUTH 21ST STREET
POTTSVILLE PA 17901

Officer/Director/Trustee Two

ROBERT D WOMER
VICE PRESIDENT/DIRECTOR
945 POTTSVILLE STREET
POTTSVILLE PA 17901

Officer/Director/Trustee Three

ROBERT M WOMER
TREASURER/DIRECTOR
415 HOTEL STREET
POTTSVILLE PA 17901

Officer/Director/Trustee Four

PAMELA BERKHEISER
SECRETARY/DIRECTOR
718 MAIN STREET
NORTHAMPTON PA 18067

Officer/Director/Trustee Five

DONALD DITZLER
DIRECTOR
526 EAST ARCH STREET
POTTSVILLE PA 17901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
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 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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