FORM 1023-EZ for POTTER RACCOON MIDGET FOOTBALL ASSO

Field Data
EIN 13-4325105
Case Number EO-2017103-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POTTER RACCOON MIDGET FOOTBALL ASSO
Organization’s Mailing Address PO BOX 1415
City ALIQUIPPA
State PA
ZIP 15001
Accounting period End 12
Primary contact name JESSICA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEICA WARE
PRESIDENT
3769 RIDGE ROAD
ALIQUIPPA PA 15001

Officer/Director/Trustee Two

BRAD FUNKHOUSER
VICE PRESIDENT
3997 PATTERSON RD
ALIQUIPPA PA 15001

Officer/Director/Trustee Three

JESSICA MOORE
TREASURER
541 MCCLEARY RD
HOOKSTOWN PA 15050

Officer/Director/Trustee Four

MATT BRUTON
GENERAL MANAGER
3349 RIDGE RD
ALIQUIPPA PA 15001

Officer/Director/Trustee Five

ELIZABETH DEBERRY
CHEER GENERAL MANAGER
1515 ELGEN ST
ALIQUIPPA PA 15001

Organization’s website WWW.PRFOOTBALL.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/1970
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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
Signature Title
Signature Date

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