FORM 1023-EZ for DALLASTOWN BOYS SOCCER BOOSTER CLUB

Field Data
EIN 46-3650035
Case Number EO-2017172-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DALLASTOWN BOYS SOCCER BOOSTER CLUB
Organization’s Mailing Address 700 NEW SCHOOL LANE
City DALLASTOWN
State PA
ZIP 17313
Accounting period End 12
Primary contact name JEFFREY L REHMEYER II ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MISSY STARNER
PRESIDENT
2411 EMIRAY COURT
YORK PA 17403

Officer/Director/Trustee Two

JAMES HERBERT
VICE-PRESIDENT
70 CHURCHILL DRIVE
YORK PA 17403

Officer/Director/Trustee Three

DAVID BATEMAN
TREASURER
2384 JONQUIL ROAD
YORK PA 17403

Officer/Director/Trustee Four

ALLISON MANNING
SECRETARY
13 OLD MILL DRIVE
JACOBUS PA 17407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2013
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-3650035
Case Number EO-2015105-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DALLASTOWN BOYS SOCCER BOOSTER CLUB
Organization’s Mailing Address 700 NEW SCHOOL LANE
City DALLASTOWN
State PA
ZIP 17313
Accounting period End 6
Primary contact name CHRISTOPHER BROCKWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS BROCKWAY
PRESIDENT
411 CHESTNUT HILL ROAD
YORK PA 17402

Officer/Director/Trustee Two

JOEL FRITZ
VICE PRESIDENT
2668 SPRINGWOOD ROAD
YORK PA 17402

Officer/Director/Trustee Three

KIM BARNETT
TREASURER
220 SOUTH PARK STREET
DALLSTOWN PA 17313

Officer/Director/Trustee Four

DAVID SWARTZ
SECRETARY
2931 LEGACY LANE
YORK PA 17402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2013
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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