FORM 1023-EZ for PFAFFTOWN PACKERS YOUTH FOOTBALL AND CHEER

Field Data
EIN 56-1456067
Case Number EO-2021100-001308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PFAFFTOWN PACKERS YOUTH FOOTBALL AND CHEER
Organization’s Mailing Address P O BOX 11262
City WINSTON-SALEM
State NC
ZIP 27116
Accounting period End 12
Primary contact name ERIC CONRAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC CONRAD
PRESIDENT
1963 GLENBURN DRIVE
WINSTON-SALEM NC 27127

Officer/Director/Trustee Two

ROB WILLIS
VICE PRESIDENT
4918 SHATTLALON
WINSTON-SALEM NC 27106

Officer/Director/Trustee Three

CHRISTINA FARLEY
TREASURER
2315 BETHABARA POINTE DRIVE
WINSTON-SALEM NC 27106

Organization’s website
Organization’s email PFPACKERMAN12@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/1976
Organization Incorporation State NC
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC CONRAD
Signature Title PRESIDENT
Signature Date 3/31/2021

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