FORM 1023-EZ for PERKIOMEN VALLEY FIELD HOCKEY PARENTS ASSOCIATION

Field Data
EIN 20-0740523
Case Number EO-2017198-000488
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERKIOMEN VALLEY FIELD HOCKEY PARENTS ASSOCIATION
Organization’s Mailing Address 200 BRANDYWINE RD
City COLLEGEVILLE
State PA
ZIP 19426
Accounting period End 12
Primary contact name LINDA HAMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF WUERSTLE
PRESIDENT
200 BRANDYWINE RD
COLLEGEVILLE PA 19426

Officer/Director/Trustee Two

STEPH MARTINA
VICE PRESIDENT
200 BRANDYWINE RD
COLLEGEVILLE PA 19426

Officer/Director/Trustee Three

LINDA HAMM
TREASURER
200 BRANDYWINE RD
COLLEGEVILLE PA 19426

Organization’s website
Organization’s email HAMM6@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2005
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 Yes
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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