FORM 1023-EZ for PLEASANT VALLEY BRUINS YOUTH WRESTLING ASSOCIATION

Field Data
EIN 46-1114658
Case Number EO-2014352-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEASANT VALLEY BRUINS YOUTH WRESTLING ASSOCIATION
Organization’s Mailing Address 2645 ALLEGHENY DRIVE
City BLAKESLEE
State PA
ZIP 18610
Accounting period End 7
Primary contact name SCOTT RAMSAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT RAMSAY
PRESIDENT
2645 ALLEGHENY DRIVE
BLAKESLEE PA 18610

Officer/Director/Trustee Two

TONIANN FALCONE FALCONE
VICE-PRESIDENT
1398 PENNEL ROAD
BRODHEADSVILLE PA 18322

Officer/Director/Trustee Three

HEATHER HUNTER
TREASURER
252 DOGWOOD LANE
SAYLORSBURG PA 18353

Officer/Director/Trustee Four

JANICE GRIFFITH
SECRETARY
2172 WOODHAVEN DRIVE
SAYLORSBURG PA 18353

Organization’s website WWW.PVBRUINSWRESTLING.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2012
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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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