FORM 1023-EZ for PANDAS YOUTH JUNIOR TRIATHLON CLUB

Field Data
EIN 81-1657804
Case Number EO-2016335-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PANDAS YOUTH JUNIOR TRIATHLON CLUB
Organization’s Mailing Address 208 BROAD ACRES ROAD
City LANSDALE
State PA
ZIP 19446
Accounting period End 12
Primary contact name LAUREN JENNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT JENNER
PRESIDENT
208 BROAD ACRES ROAD
LANSDALE PA 19446

Officer/Director/Trustee Two

LAUREN JENNER
SECRETARY/TREASURER
208 BROAD ACRES ROAD
LANSDALE PA 19446

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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 No
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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