FORM 1023-EZ for GNA WRESTLING BOOSTERS CLUB

Field Data
EIN 23-2860604
Case Number EO-2018191-000107
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GNA WRESTLING BOOSTERS CLUB
Organization’s Mailing Address 112 W SOUTH ST
City NANTICOKE
State PA
ZIP 18634-3433
Accounting period End 6
Primary contact name ROBERT F WENTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELIA BRACERO
PRESIDENT
20 N SPRING ST
GLEN LYON PA 18617-1134

Officer/Director/Trustee Two

SHAUNAH PELTON
VICE PRESIDENT
336 E BROAD ST
NANTICOKE PA 18634-2514

Officer/Director/Trustee Three

AMY SAUERS
EXECUTIVE VICE PRESIDENT
23 HILL ST
NANTICOKE PA 18634-1417

Officer/Director/Trustee Four

BRIDGET LEAVITT
SECRETARY
20 N SPRING ST 3RD FLOOR
GLEN LYON PA 18617-1134

Officer/Director/Trustee Five

ROBERT WENTZ
TREASURER
112 W SOUTH ST
NANTICOKE PA 18634-3433

Organization’s website N/A
Organization’s email GNAWRESTLINGBOOSTERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/04
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 Yes
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 ROBERT WENTZ
Signature Title TREASURER
Signature Date 7/6/18

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