FORM 1023-EZ for PENN STATE WOMENS SOCCER BOOSTER CLUB

Field Data
EIN 77-0621546
Case Number EO-2015233-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENN STATE WOMENS SOCCER BOOSTER CLUB
Organization’s Mailing Address 297 VARSITY LANE
City STATE COLLEGE
State PA
ZIP 16803
Accounting period End 6
Primary contact name CALVIN D WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN BOWEN
PRESIDENT
341 TOFTREES AVENUE 215
STATE COLLEGE PA 16803

Officer/Director/Trustee Two

CALVIN WALSH
SECRETARY/TREASURER
297 VARSITY LANE
STATE COLLEGE PA 16803

Officer/Director/Trustee Three

ROBERT DVORSKY
VICE PRESIDENT
293 VARSITY LANE
STATE COLLEGE PA 16803

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2007
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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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