FORM 1023-EZ for XTREME ALL-STAR CHEER BOOSTER CLUB

Field Data
EIN 82-2306999
Case Number EO-2017250-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name XTREME ALL-STAR CHEER BOOSTER CLUB
Organization’s Mailing Address 116 BLACKBURN DRIVE
City NOTTINGHAM
State PA
ZIP 19362-9632
Accounting period End 6
Primary contact name JENNIFER ELAINE KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER KENNEDY
PRESIDENT
264 RED POINT ROAD
NORTH EAST MD 21901-5654

Officer/Director/Trustee Two

MANDA KOSS
VICE PRESIDENT
12 GREENFIELD ROAD
COCHRANVILLE PA 19330-9490

Officer/Director/Trustee Three

ROBIN BALLA
TREASURER
116 BLACKBURN DRIVE
NOTTINGHAM PA 19362-9632

Officer/Director/Trustee Four

DONNA NAVA
DIRECTOR OF ACTIVITIES
31 MCDONOUGH DRIVE
OXFORD PA 19363-2410

Organization’s website HTTPS://WWW.FACEBOOK.COM/XTREMEALLSTARBOOSTER/
Organization’s email XTREMEALLSTARBOOSTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 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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