FORM 1023-EZ for VICTUS HEALTH FOUNDATION

Field Data
EIN 83-1269635
Case Number EO-2018281-000011
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VICTUS HEALTH FOUNDATION
Organization’s Mailing Address 165 NUTT ROAD SUITE D
City PHOENIXVILLE
State PA
ZIP 19460
Accounting period End 6
Primary contact name NICHOLAS KATRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA BEOTHY
SECRETARY
1833 FAIRMOUNT AVE APT 303
PHILADELPHIA PA 19130-19

Officer/Director/Trustee Two

LUKE BAIRD
PRESIDENT
4350 PECHIN ST
PHILADELPHIA PA 19128-3438

Officer/Director/Trustee Three

DAVID PSOTA
TREASURER
1550 NORTH VALLEY ROAD
POTTSTOWN PA 19464

Officer/Director/Trustee Four

NICHOLAS KATRA
ASSISTANT DIRECTOR
157 CARSON ST
PHILADELPHIA PA 19127-1332

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Donation of funds Yes
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 NICHOLAS KATRA
Signature Title ASSISTANT DIRECTOR
Signature Date 10/3/18

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