FORM 1023-EZ for PCOA EDUCATIONAL FOUNDATION

Field Data
EIN 83-2141633
Case Number EO-2019154-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PCOA EDUCATIONAL FOUNDATION
Organization’s Mailing Address 5265 SELL ROAD
City NEW TRIPOLI
State PA
ZIP 18066
Accounting period End 12
Primary contact name JASON VAUGHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON VAUGHAN
CHAIRMAN
415 TAYLOR DRIVE
EAST STROUDSBURG PA 18301

Officer/Director/Trustee Two

BEVERLY GRUBER
VICE CHAIRMAN
5265 SELL ROAD
NEW TRIPOLI PA 18066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASON VAUGHAN
Signature Title CHAIRMAN
Signature Date 5/31/19

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