FORM 1023-EZ for ABINGTON HEIGHTS SWIM AND DIVE BOOSTER CLUB

Field Data
EIN 26-3010526
Case Number EO-2018257-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ABINGTON HEIGHTS SWIM AND DIVE BOOSTER CLUB
Organization’s Mailing Address PO BOX 364
City CHINCHILLA
State PA
ZIP 18410
Accounting period End 5
Primary contact name MELANIE BROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE BROCK
PRESIDENT
PO BOX 364
CHINCHILLA PA 18410

Officer/Director/Trustee Two

JOSEPH OCWIEJA
VICE PRESIDENT
PO BOX 364
CHINCHILLA PA 18410

Officer/Director/Trustee Three

JODI ARMSTRONG
TREASURER
PO BOX 364
CHINCHILLA PA 18410

Officer/Director/Trustee Four

LAUREN BROWN
SECRETARY
PO BOX 364
CHINCHILLA PA 18410

Officer/Director/Trustee Five

NADINE PRZEKOP
AT LARGE MEMBER
PO BOX 364
CHINCHILLA PA 18410

Organization’s website
Organization’s email AHSNDBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELANIE BROCK
Signature Title PRESIDENT
Signature Date 9/12/18

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