FORM 1023-EZ for HICKORY GIRLS VOLLEYBALL BOOSTERS

Field Data
EIN 25-1871185
Case Number EO-2020106-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HICKORY GIRLS VOLLEYBALL BOOSTERS
Organization’s Mailing Address 411 N HERMITAGE RD
City HERMITAGE
State PA
ZIP 16148
Accounting period End 12
Primary contact name CHRISTINE WIESEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE WIESEN
PRESIDENT
2680 S KEEL RIDGE RD
HERMITAGE PA 16148

Officer/Director/Trustee Two

ELIZABETH GINGRAS
VICE PRESIDENT
3668 TIFFANY LANE
HERMITAGE PA 16148

Officer/Director/Trustee Three

HEIDI GRIFFITH
SECRETARY
87 N OAKDALE AVE
HERMITAGE PA 16148

Officer/Director/Trustee Four

DONALD KOVAC
TREASURER
3580 RIDGEWOOD DR
HERMITAGE PA 16148

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/1997
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CHRISTINE WIESEN
Signature Title PRESIDENT
Signature Date 4/13/2020

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