FORM 1023-EZ for KISKI AREA GIRLS VOLLEYBALL BOOSTERS

Field Data
EIN 83-1364354
Case Number EO-2018213-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KISKI AREA GIRLS VOLLEYBALL BOOSTERS
Organization’s Mailing Address 235 AIR SHAFT ROAD
City APOLLO
State PA
ZIP 15613
Accounting period End 6
Primary contact name EILEEN KENZEVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EILEEN KENZEVICH
PRESIDENT
235 AIR SHAFT RD
APOLLO PA 15613

Officer/Director/Trustee Two

JODI FOWLER
VICE PRESIDENT
30 SUNRISE DRIVE
LEECHBURG PA 15656

Officer/Director/Trustee Three

JENNIFER BROOKS
SECRETARY
4676 SHEARSBURG ROAD
NEW KENSINGTON PA 15068

Officer/Director/Trustee Four

CHRISTINA DEBICH
TREASURER
478 LORI DRIVE
LEECHBURG PA 15656

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 EILEEN KENZEVICH
Signature Title PRESIDENT
Signature Date 7/29/18

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