FORM 1023-EZ for PANTHER VALLEY YOUTH BASKETBALL ASSOCIATION

Field Data
EIN 46-3653482
Case Number EO-2018024-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANTHER VALLEY YOUTH BASKETBALL ASSOCIATION
Organization’s Mailing Address 312 W PATTERSON ST
City LANSFORD
State PA
ZIP 18232
Accounting period End 6
Primary contact name STEPHANIE BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW ENGLER
PRESIDENT
330 E HAZARD ST
SUMMIT HILL PA 18250

Officer/Director/Trustee Two

GREG KOSCIOLEK
VICE PRESIDENT
346 E LUDLOW ST
SUMMIT HILL PA 18250

Officer/Director/Trustee Three

THERESA KOKINDA
SECRETARY
6 SECOND AVE
NESQUEHONING PA 18240

Officer/Director/Trustee Four

STEPHANIE BLACK
TREASURER
38 DOGWOOD LANE
NESQUEHONING PA 18240

Officer/Director/Trustee Five

DAVID MCANDREW
AMBASSADOR
18 E FELL ST
SUMMIT HILL PA 18250

Organization’s website
Organization’s email PVYOUTHBASKETBALL@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/13
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 STEPHANIE BLACK
Signature Title TREASURER
Signature Date 1/21/18

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