FORM 1023-EZ for PAGE ATHLETIC BOOSTER CLUB
| Field | Data |
|---|---|
| EIN | 85-2653067 |
| Case Number | EO-2021091-000904 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PAGE ATHLETIC BOOSTER CLUB |
| Organization’s Mailing Address | 5198 TC WALKER ROAD |
| City | GLOUCESTER |
| State | VA |
| ZIP | 23061 |
| Accounting period End | 6 |
| Primary contact name | SHANNON DISHMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHANNON DISHMAN
PRESIDENT
7895 BERKELEY DRIVE
GLOUCESTER POINT VA 23061
Officer/Director/Trustee Two
JULIE PASIPANKI
VICE PRESIDENT
3706 BUCKEYE LANE
HAYES VA 23072
Officer/Director/Trustee Three
AMY SANTIAGO
TREASURER
4448 PINEY SWANP
HAYES VA 23072
Officer/Director/Trustee Four
JESSICA CARUCCI
SECRETARY
5862 HILLSIDE DR
GLOUCESTER VA 23061
Officer/Director/Trustee Five
AMY ONEILL
ATHLETIC DIRECTOR
7603 SOUTH SHORE DRIVE
GLOUCESTER VA 23061
| Organization’s website | HTTPS://PAGE.GC.K12.VA.US/EAGLE-ATHLETICS |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/11/2020 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B11 - Single Organization Support |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | SHANNON DISHMAN |
| Signature Title | PRESIDENT |
| Signature Date | 2/20/2021 |
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