FORM 1023-EZ for WASHS VOLLEYBALL BOOSTER CLUB

Field Data
EIN 20-1796847
Case Number EO-2019221-000021
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHS VOLLEYBALL BOOSTER CLUB
Organization’s Mailing Address 11491 LADY DELL DRIVE
City WAYNESBORO
State PA
ZIP 17268
Accounting period End 6
Primary contact name MELISSA BURKHOLDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY CHANNING
SECRETARY
9930 SKITTLE RUN COURT
WAYNESBORO PA 17268

Officer/Director/Trustee Two

MELISSA BURKHOLDER
TREASURER
11491 LADY DELL DR
WAYNESBORO PA 17268

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/11
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 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 MELISSA BURKHOLDER
Signature Title TREASURER
Signature Date 8/6/19

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