FORM 1023-EZ for DERRY TOWNSHIP WRESTLING CLUB DERRYTROJAN WRESTLING CLUB

Field Data
EIN 61-1766757
Case Number EO-2015253-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DERRY TOWNSHIP WRESTLING CLUB DERRYTROJAN WRESTLING CLUB
Organization’s Mailing Address 1074 BREEZE WAY
City LATROBE
State PA
ZIP 15650
Accounting period End 12
Primary contact name HOLLY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BLAISE MUCCI
PRESIDENT
543 PANDORA RD
DERRY PA 15627

Officer/Director/Trustee Two

JAMIE BEATRICE
VICE PRESIDENT
331 23RD ST
NEW DERRY PA 15671

Officer/Director/Trustee Three

ROBERT DOPERAK
TREASURER
106 FRANK CIRCLE
LATROBE PA 15650

Officer/Director/Trustee Four

HOLLY BROWN
SECRETARY
1074 BREEZE WAY
LATROBE PA 15650

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2009
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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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