FORM 1023-EZ for NORWIN HS GIRLS BASKETBALL BOOSTERS

Field Data
EIN 84-2136943
Case Number EO-2019176-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORWIN HS GIRLS BASKETBALL BOOSTERS
Organization’s Mailing Address 11962 WATERFORD DRIVE
City NORTH HUNTINGDON
State PA
ZIP 15642
Accounting period End 5
Primary contact name KATHLEEN L DEMARCHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENA GRIBBLE
PRESIDENT
11962 WATERFORD DRIVE
NORTH HUNTINGDON PA 15642

Officer/Director/Trustee Two

MARISSA ZAIJAK
VICE PRESIDENT
2212 GREENVILLE CIRCLE
NORTH HUNTINGDON PA 15642

Officer/Director/Trustee Three

DEBBIE POLCZYNSKI
SECRETARY
2210 TURKEY FARM ROAD
NORTH HUNTINGDON PA 15642

Officer/Director/Trustee Four

NIKKI ELLINGSEN
TREASURER
671 NATHAN DRIVE
NORTH HUNTINGDON PA 15642

Organization’s website
Organization’s email DEGRIBBLE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 DENA GRIBBLE
Signature Title PRESIDENT
Signature Date 6/21/19

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