FORM 1023-EZ for THE PW VIKINGS SOCCER BOOSTER CLUBINC

Field Data
EIN 86-2657123
Case Number EO-2021117-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PW VIKINGS SOCCER BOOSTER CLUBINC
Organization’s Mailing Address 95 PARK AVENUE
City PORT WASHINGTON
State NY
ZIP 11050
Accounting period End 8
Primary contact name PAMELA CAPPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SCHUPAK
DIRECTOR
95 PARK AVENUE
PORT WASHINGTON NY 11050

Officer/Director/Trustee Two

PAMELA CAPPS
DIRECTOR
12 PINE STREET
PORT WASHINGTON NY 11050

Officer/Director/Trustee Three

AMY KATES
DIRECTOR
88 MIDDLE ROAD
PORT WASHINGTON NY 11050

Officer/Director/Trustee Four

ROBYN DELL
DIRECTOR
79 BARKERS POINT ROAD
PORT WASHINGTON NY 11050

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - 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 PAMELA CAPPS
Signature Title DIRECTOR
Signature Date 4/25/2021

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