FORM 1023-EZ for PIKE GYMNASTICS BOOSTER CLUB

Field Data
EIN 81-1361083
Case Number EO-2017052-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIKE GYMNASTICS BOOSTER CLUB
Organization’s Mailing Address 177 JERSEY AVE
City PORT JERVIS
State NY
ZIP 12771
Accounting period End 12
Primary contact name CHRISSY WEBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISSY WEBER
PRESIDENT
113 MOUNTAIN VIEW COURT
MATAMORAS PA 18336

Officer/Director/Trustee Two

GRETCHEN WASHALSKI
VICE PRESIDENT
88 SCHOOL HOUSE ROAD
PORT JERVIS NY 12771

Officer/Director/Trustee Three

CATHI RING
SECRETARY
120 ALMOND COURT
MILFORD PA 18337

Officer/Director/Trustee Four

AMY PRISCO
TREASURER
103 MADISON COURT
MILFORD PA 18337

Officer/Director/Trustee Five

MARINA STARR
CO-TREASURER
106 CLOVER PLACE
MILFORD PA 18337

Organization’s website
Organization’s email PGBC2016@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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
Signature Title
Signature Date

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