FORM 1023-EZ for NORTHAMPTON HIGH SCHOOL GIRLS VOLLEYBALL BOOSTER CLUB

Field Data
EIN 81-3402866
Case Number EO-2017268-000493
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHAMPTON HIGH SCHOOL GIRLS VOLLEYBALL BOOSTER CLUB
Organization’s Mailing Address 1619 LAUBACH AVENUE
City NORTHAMPTON
State PA
ZIP 18067
Accounting period End 12
Primary contact name JODI HARTZELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI HARTZELL
TREASURER
827 N SUMMIT ROAD
BATH PA 18014

Officer/Director/Trustee Two

SHANNON HEFFNER
PRESIDENT
287 WILLOW ROAD
WALNUTPORT PA 18088

Officer/Director/Trustee Three

TRISHA BEST
VICE PRESIDENT
3694 PECAN DRIVE
NORTHAMPTON PA 18067

Officer/Director/Trustee Four

SUZANNE ROCKOVITS
SECRETARY
3375 MURPHY ROAD
WALNUTPORT PA 18088

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
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
Signature Title
Signature Date

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