1. Please complete all the appropriate sections of the form and sign and date the form. Make sure you list the full

name of the school and city/town for the school you are applying for and list the school code for that school(s)

from the list. If you have questions, call (440) 892-4272.

2. Review “Avoiding the Most Common Errors” on page 5. Make sure you double check that all documentation is

included.

3. Do not staple anything to the Student Aid Form.

4. Make a photocopy of this application and documentation for your records. Do not send original documents as

they cannot be returned.

5. Enclose a check or Money Order payable to PRIVATE SCHOOL AID SERVICE for the non-refundable application

fee of $22.00 (Note: all returned checks will incur an additional fee of $25.00).6. Return the completed application with proper postage to:

PRIVATE SCHOOL AID SERVICE Common Application P.O. Box 89434 Cleveland, OH 44101-64347. If you would like to receive notification that your application has been received, enclose a self-addressed postcard

or envelope with your application. You can check the processing status of your application at www.psas.org.

INSTRuCTIONS fOR COmPLETINg THIS APPLICATION

Form #421 (2011) 1

Archdiocese of Philadelphia Schools Common Application

Who Can Apply: Families of students enrolling in grades Pre-Kindergarten through 12 in a participating Catholic school (See School Code List).

This single application will be reviewed to determine your eligibility for funding from the various programs administered by BLOCS, OCE, FIFF, and some of the Archdiocese schools.

Student Aid form2013

2014

STU

DEN

T NA

ME

PAREN

T NA

ME

Due Date: You may submit this application anytime after October 15, 2012 and no later than march 15, 2013. Awards will be announced on a rolling basis starting in January 2013 and ending June 30, 2013, except for the High Schools which will end on may 15, 2013.

STuDENT A I D fO R m = 2 013 -2 014

Number of dependent children who will attend a tuition charging school: daycare, Pre-K, elementary school, secondary school, or college in the fall of 2013?

Please list all dependent children in order of oldest to youngest, including college students. Indicate each dependent’s relation to Parent/Guardian A: child, foster child, grandchild, etc.

*PLEASE ENTER CORRECT CODE fROm SCHOOL CODE LIST PROVIDED. INCORRECT CODES CAN DELAY RESuLTS AND JEOPARDIZE YOuR OPPORTuNITY fOR AN AWARD.

Last Name: First Name: Middle Name:

Mailing Address: Apartment Number: COuNTY Of RESIDENCE:

Public School District of Residence: City: State: Zip Code:

Social Security Number: Age: Home Phone:

- - - -

Work Phone:

- -E-Mail Address:

Occupation: Parish Code*:

May PSAS contact you at work if there are any questions? m Yes m No

m If you are self-employed, please check and refer to Section I of this form.

Relationship to Student: m Father m Mother m Step-Father m Step-Mother m Other Adult

*Please refer to attached Parish Code list.

PARENT, GUARDIAN, OR OTHER ADULT RESIDING WITH A AbOvEB

Form #421 (2011)

Form #421 (2011)

= IMPORTANT: Print clearly and neatly with a blue or black ball point pen = REquIRED FIELDS IN PINK

2

m Please check if additional dependents are listed on page 3.

Last Name: First Name: Middle Name:

Mailing Address: Apartment Number: COuNTY Of RESIDENCE:

Social Security Number: Age: Home Phone:

- - - -

Work Phone:

- -E-Mail Address:

Occupation: Parish Code*:

May PSAS contact you at work if there are any questions? m Yes m No

m If you are self-employed, please check and refer to Section I of this form.

Relationship to Student: m Father m Mother m Step-Father m Step-Mother m Other Adult

*Please refer to attached Parish Code list.

PARENT, GUARDIAN, OR OTHER ADULT RESPONSIbLE fOR TUITIONA

DEPENDENTS (Do Not leave blaNK)C

Public School District of Residence: City: State: Zip Code:

Are you an alumnus of Philadelphia Catholic Schools? m Yes m NoIf so, please list school name(s):

Are you an alumnus of Philadelphia Catholic Schools? m Yes m NoIf so, please list school name(s):

1

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

2

ADDITIONAL DEPENDENTSC

3

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

3

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

4

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

5

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

6

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

7

Applying for Aid?

m Yes m No

Dependent Last Name: Dependent First Name: M.I. Age: Gender:

m M m F

Relation to Parent/Guardian A:

Name of school student plans to attend in 2013-2014:

School City/State: Grade in Fall of 2013:

If student received funding in prior year, please list amount:

$

Are you applying for OSTC funding?

m Yes m No

List the name of the public school your child would be assigned to:

School Code (List codes for all schools being considered):

Office Use Only

8

The 2011 federal tax return for student’s household was:m Filed m Not filed yet (See Required Documentation section) m I/We do not file. I/We only receive non-taxable income

q a. Loss of job

q b. Recent separation/ divorce

q c. Change in family living status

q d. Change in work status

q e. Bankruptcy

q f. College expenses

q g. Income reduction

q h. Illness or injury

q i. Death in the family

q j. Shared custody

q k. High debt

q l. Child support reduction

q m. Medical/Dental expenses

q n. Shared tuition

q o. Other*

*Explain in Section J.

Check all that apply to your situation within the last 12 months

Office Use Only EITC H $

Last Name First Name M.I.

4

1. Date of separation (Month/Year) /

2. Date of divorce (Month/Year) /

4. Who is responsible for the tuition for the dependent(s) listed in Section C?

q Father % Name

q Mother % Name

q Other % Name * *If tuition is shared, each responsible party must complete a Student Aid Form (SAF).

3. Who claimed student as tax dependent in 2011?

List the total amount received from 1/1/11-12/31/11 for all recipients in the household. DO NOT list monthly amounts. If none, enter “0”.

*You must provide 2011 YeaR-eND documentation for items 10-13; either a YeaR-eND Statement from the appropriate Public agency, or your most recent documentation showing monthly totals for 2011.

a. Medicaid received in 2011?

a. total Social Security income received in 2011 (SSI oNlY) (Provide documentation for all recipients in household.)

per year

per year*$

m Yes m No

13. other non-taxable income:

$per

year*

12. Social Security income (SSa.SSD, etc. (Provide documentation for all recipients in household.) $

per year*

11. Food Stamps and/or W.I.C. $per

year*

10. Cash assistance (taNF) $per

year*

9. Child Support $ per year

a. Working for cash

b. adoption and/or Foster Subsidy

c. Workers’ Compensation

d. Disability

e. Pension/Retirement, etc. (Identify sources in Section J)

14. Total non-taxable income for 2011

$per

year*

$per

year*

$per

year*

$per

year*

$per

year

1. Number of individuals who will reside in household during the 2013-2014 school year:

If Other, please explain

Parents/Guardians Children Other

2. Current marital status/housing arrangement of Parent/Guardian A:

m a. Single, never Married* m d. Divorced* m g. Residing w/Significant Other

m b. Married m e. Remarried* m h. Other:

m c. Widowed m f. Separated*

*If Single, Divorced, Remarried, or Separated, please complete Section E.

HOUSEHOLD INfORMATIOND

SINGLE, DIvORCED, REMARRIED, OR SEPARATED PARENTS (To be completed by the Parent/Guardian listed in Section A) E

INCOME INfORMATIONF

NON-TAxAbLE INCOME INfORMATIONG UNUSUAL CIRCUMSTANCESH

1. Total number of exemptions claimed on Federal Income Tax form:

2. Adult A total taxable income from W-2 wages. (Total income for Adult A only) $

3. Adult B total taxable income from W-2 wages. (Total income for Adult B only) $

4. Net business income* from self-employment, farm, rentals, and other businesses. (Attach Schedules C, E, and/or F from your IRS 1040) See 2011 1040 lines 12, 17, and 18 *Go to Section I $

5. Other non-work taxable income from interest, dividends, alimony, unemployment, and non-business income. See 2011 1040 lines 8a, 9a-11, 13, 14, 15b, 16b, 19-21; See 2011 1040a lines 8a-14b

$

6. Allowable “Adjustments to Income” as reported on your IRS 1040, 1040A, or 1040EZ. See 2011 1040 line 36 or 1040a line 20 $

7. Total “Adjusted Gross Income” as reported on your IRS 1040, 1040A, or 1040EZ. See 2011 1040 line 37 or 1040a line 21 $

8. Total Tax Paid as reported on your IRS 1040, 1040A, or 1040EZ. See 2011 1040 line 61 or 1040a line 35 $

Actual 2011

Go to next pageKeep a copy of this completed application and all documentation for your records.

SS#: Parent/Guardian A: Print Name

Parent/Guardian a Date Parent/Guardian b Date

This Student Aid Form (SAF), all attachments and an analysis of your SAF are sent only to the school(s) or agencies contracting with PSAS. You will not receive results from PSaS. No other agency will see or receive any information about this application or its attachments.

I/We certify that all information on this form, as well as all supporting documentation, is true, correct, and complete to the best of my knowledge and that all

household income has been reported. I understand that deliberate misrepresentation of this information may result in the scholarship being denied

or revoked, and may subject me to prosecution under applicable State laws. I understand that incorrect school codes listed in Section C can

delay and jeopardize my opportunity for an award. I authorize PSAS to return this form and all attachments to BLOCS, OCE, or FIFF. I authorize BLOCS,

OCE, or FIFF to make this form and the information therein available to the appropriate state agency only as required by the law governing the scholarships.

1. What is your total estimated gROSS business taxable income?

2. What is your total NET business taxable income/loss? (DO NOT LEAVE BLANK)

3. If your business pays your home rent or mortgage, what is the annual total?

4. If your business pays for your personal automobile, what is the annual total?

5. If your business pays any portion of other personal expenses, list total amount and explain on a separate sheet.

6. If you own rental property: What was the total amount of Rental Income received?

Schedule C Schedule E Schedule F

$

$

$

$ $

$

$

$

$

$

If you have not filed your 2011 Tax Return, and are Self-Employed, own a business, rental property, and/or a farm - DO NOT LEAVE BLANK

5

bUSINESS OWNERS OR SELf-EMPLOyED INDIvIDUALS (2011 ESTIMATES)I

ExPLANATIONS (Use this space to explain any answers which may need clarification) J

CERTIfICATION AND AUTHORIzATIONK

THE MOST COMMON ERROR THAT APPLICANTS MAKE IS SENDING THE APPLICATION INCOMPLETE. IN ORDER FOR AN APPLICATION TO BE REVIEWED, IT MUST INCLUDE:

• All pages of your 2011 IRS Form 1040, 1040A, or 1040EZ (Federal Income Tax Return). Do not send

your state tax return, recap, or tax summary. (If you have not yet filed your 2011 IRS Form 1040, or you

do not file, please see the Required Documentation on page 7.)

• 2011 W-2 and/or 1099 Forms for individual(s) listed in Sections A and B (Please make sure all documentation is copied on

regular 81/2 x 11 paper).

• Non-taxable income verification.

• A current utility bill (gas, water, or electric) showing current address.

• Include report card for incoming 9th grade students if applicable.

• A check or money order for the non-refundable application fee of $22.00. All returned checks will be subject to an additional

$25.00 fee.

• THIS APPLICATION SHOuLD BE SENT TO: PSAS-COmmON APPLICATION, P.O. BOX 89434 , CLEVELAND, OH 44101-6434.

[Print clearly and neatly with a blue or black ball point pen.

[ make sure you list the full name of the school and the city for the school you are applying to and list the correct

school code from the list provided.

[Make a photocopy of your completed Student Aid Form and all supporting documentation for your records.

[Do not staple ANYTHING to the Student Aid Form.

[Affix proper postage to the envelope (applications without sufficient postage will be returned by the post office).

[If you would like to receive notification that PRIVATE SCHOOL AID SERVICE has received your application, enclose a

self-addressed stamped postcard or envelope with your application.

[Do not send any original documents. Originals cannot be returned.

PSAS CANNOT PROCESS YOUR APPLICATION IF YOU HAVE NOT INCLUDED THE REQUIRED DOCUMENTATION AND APPLICATION FEE.

AVOIDINg THE mOST COmmON ERRORS

6

mail completed application and photocopies of all documentation to: PRIVATE SCHOOL AID SERVICE - COmmON APPLICATION, P.O. BOX 89434, CLEVELAND, OH 44101-6434

questions? Call: (440) 892-4272Copyright © 2011 Private School Aid Service

PRIVATE SCHOOL AID SERVICE (PSAS) is under contract with the school, school system, or organization from which you obtained this application for tuition assistance. Our purpose is to provide a reasonable assessment of the ability of each family to pay for the education of their children at private and independent elementary and secondary schools.

Your Student Aid Form (SAF), all attachments, and an analysis of your SAF are sent only to the school(s) or agencies contracting with PSAS. No other agency will receive any information about this application or its attachments.

PRIVATE SCHOOL AID SERVICE does not make any decisions about recipients and amounts of financial aid awarded. Recipients and amounts of aid are determined by the designated school or agency. YOu WILL NOT RECEIVE RESuLTS fROm PRIVATE SCHOOL AID SERVICE.

This form should be filled out by the parent, guardian or other adult responsible for the tuition of the child or children attending a private or independent school contracting with PSAS. If the parents/guardians are divorced or separated, only the parent responsible for the tuition and any other adult residing in the household should fill out the form. If tuition is shared, each responsible party must complete a SAF if financial aid is needed.

Answer all questions for both parent(s), stepparent(s), or guardian(s) responsible for tuition for the dependent(s) listed in Section C. Do not leave any questions blank. If natural parents are divorced, separated or single, answer all questions in Section E. If natural parents are divorced/separated and remarried, list information for custodial parent and new spouse. If either parent answers “self-employed,” and has not filed a tax return, complete Section I.

CALCuLATIONS ARE BASED ON TOTAL HOuSEHOLD INCOmE.

List all dependent children residing in your household in order of oldest to youngest. Indicate the relation to Parent/Guardian A listed in Section A of the application (i.e. child, grandchild, foster child, stepchild, etc.). If your dependents will be enrolled in any tuition charging school or agency next fall (including daycare, preschool, elementary school, high school, college, or trade school), list the name of the school, city and state where the school is located. List the grade your child(ren) will enter next fall (2013-2014). If the student received funding in the prior year, please list the amount. Indicate whether or not you are applying for OSTC funding. List the name of the public school your child would be assigned to.

If “No” is checked for a student listed in Section C, that student will not be considered for tuition assistance. For all additional dependents, use a separate sheet.

ITEm 1: Enter total number of individuals living in the household. Include any college students claimed on the tax return. Do not include children who have moved out of the home. Include all family members dependent on and residing with the parent/guardian listed in Section A.

ITEm 2: Check the appropriate box indicating custodial parents’ marital status. If parents are single, divorced, remarried, or separated, complete Section E.

If dependent(s) parents are divorced or separated, or do not reside in the same household, the custodial parent must provide the information requested in Section E.

If the date of separation took place in the year 2011, PSAS will require copies of any tax returns filed jointly or separately by both parent(s)/guardian(s) for 2011.

ITEm 4: Indicate who is responsible for tuition and what percentage for the dependents listed in Section C.

List all actual amounts for 2011.

ITEm 1: Enter the total number of exemptions you claimed on your 2011 IRS Form 1040, 1040A, or 1040EZ.

ITEm 2: Enter the total 2011 taxable income earned in wages, salaries and tips for parent/guardian/other listed in Section A. Attach all copies of 2011 W-2 forms and/or 2011 1099 forms from all employers.

ITEm 3: Enter the total 2011 taxable income earned in wages, salaries and tips for parent/guardian/other listed in Section B. Attach all copies of 2011 W-2 forms and/or 2011 1099 forms from all employers.

ITEm 4: Enter the total net income from business (attach Schedule C or C-EZ), all rents, royalties, partnerships (attach Schedule E), and all farm income or loss (attach Schedule F). If you have received income from any of these sources and are estimating your income for 2011, you must also fill out Section I of this application. (See 2011 1040 lines 12, 17, and 18, enter sum total.)

ITEm 5: Enter the total of all other taxable income from interest, dividend income (attach Schedule B if over $400), taxable refunds, credits or offsets of state and local income taxes, alimony received, capital gain or loss (attach Schedule D). List all capital gain distributions not previously reported, total IRA distributions (if rolled-over, explain in Section J), pensions and annuities, unemployment compensation, taxable social security benefits, and any other taxable income. Attach copies of all form 1099/1099R, and/or form 1098 for Interest/Dividends, Pensions/Annuities or other misc. income. Attach copies of Social Security Income statements and unemployment Compensation documentation for year-end 2011. (See 2011 1040 lines 8a, 9a-11, 13, 14, 15b, 16b, 19-21, or 1040A lines 8a-14b, enter sum total.)

ITEm 6: Enter allowable adjustments to income, such as IRA payments, self-employment tax, self-employed health insurance deduction, Keogh retirement plan and self-employed SEP deductions, penalty on early savings withdrawals, and alimony paid. Add together to arrive at your total adjustments. DO NOT include your standard deduction or deduction amounts for each family member. (See 2011 1040 line 36, or 1040A line 20.)

ITEm 7: Enter total adjusted gross income as reported on your IRS Form 1040, 1040A or 1040EZ. Attach all pages of the applicable tax form (1040, 1040A, 1040EZ) for documentation. (See 2011 1040 line 37, or 1040A line 21.)

ITEm 8: Enter the Total Tax paid (not withheld) as reported on your IRS Form 1040, 1040A, or 1040EZ. (See 2011 1040 line 61, or 1040A line 35.)

INTRODuCTION

INSTRuCTIONS

Parent, Guardian, or Other AdultA& B

Student InformationC

Household InformationD

Single, Divorced, Remarried, or Separated ParentsE

Income InformationF

7Keep a copy of this completed application and all documentation for your records.

If you receive non-taxable income, you must list and provide

documentation of the TOTAL YEARLY AmOuNTS received in 2011

for all recipients in the household for the following: Cash Assistance

(TANF), Food Stamps, Social Security income, Worker’s Compensation,

Disability or Retirement.

ITEm 9: Child support: Report total amount received for 2011 for all

children in the household.

ITEm 10: Cash Assistance (TANf): Report total amount received for

2011.

ITEm 11: food Stamps and/or W.I.C.: Report total amount received for

2011. Do not combine with TANF or Medicaid.

ITEm 11a: Did you receive Medicaid in 2011?

ITEm 12: Social Security income: Report the total non-taxable (SSA/

SSD, etc.) amount received in 2011 for all recipients in household.

ITEm 12a: Social Security income: Report the total non-taxable (SSI

ONLY) amount received in 2011 for all recipients in household.

ITEm 13: Other non-taxable income: Report all additional non-taxable

income received in 2011 including: Working for cash, adoption and/

or foster care subsidy, Workers’ Compensation, disability, pensions,

retirement, and untaxed portions of pensions. Identify source(s) in

Section J.

ITEm 14: Total non-taxable income for 2011: Add together Items 9-13.

Check any and all items that apply to your situation. If your circumstances

require explanation beyond the scope of this application, please notify the

school to which you are applying and also include a letter of explanation

with this application.

Provide 2011 Business Income Estimates if you have not filed your

2011 Tax Return.

ITEm 1: List estimated total GROSS taxable business income for 2011.

ITEm 2: List estimated total NET taxable business income/loss for 2011.

ITEm 3: List the total amount paid by business in 2011 for home rent or

mortgage.

ITEm 4: List the total amount paid by business in 2011 for personal

automobile.

ITEm 5: List the total amount of personal expenses paid by business in

2011 that do not fall into one of the categories above.

ITEm 6: List total amount of estimated rental income received in 2011.

If providing income estimates for more than one business, corporation or

farm (Schedule C, Schedule E and/or Schedule F) please list information

for each business, corporation or farm separately. use additional sheet

or Section J, if necessary.

If any specific question requires clarification, write a brief explanation in

this space. If your circumstances require explanation beyond the scope

of this application, please notify the school to which you are applying.

You must sign the form in this section. Your signature authorizes PSAS

to release the form and attachments to the contracting schools or

organization indicated in Section C. By signing the form, you also certify

that the information submitted is correct. This application CANNOT be

processed without the appropriate signature(s) and the appropriate

documentation.

You must submit photocopies of all pages of your 2011 Federal Tax

Return Form 1040, 1040A or 1040EZ (as filed with the IRS, with all

Schedules, 2011 W-2 Forms, 2011 1099/1099R, or 1098 Forms for any

wage-earning adult residing with the applicant(s). Do not include your

State tax return unless requested.

You must submit photocopies of all 2011 W-2 Forms, 2011 1099/1099R,

or 1098 Forms for any wage-earning adult residing with the applicant(s),

and photocopies of all pages of your most recent Federal Tax Return

Form 1040, 1040A or 1040EZ (as filed with the IRS, with all Schedules).

If this application is submitted after April 15, 2012, you must provide

a copy of the 2011 Extension for Filing Request, as approved by

the IRS.

You must complete Section I and submit photocopies of all pages of your

most recent Federal Tax Return Form 1040, 1040A or 1040EZ (as filed

with the IRS, with all Schedules), 2011 W-2 Forms, 2011 1099/1099R, or

1098 Forms for any wage-earning adult residing with the applicant(s). If

this application is submitted after April 15, 2012, you must provide

a copy of the 2011 Extension for Filing Request, as approved by

the IRS.

You must submit photocopies of your 2011 YEAR-END (01/01/11 -

12/31/11) Cash Assistance documentation (TANF, etc.), Food Stamp

documentation, Social Security Income statements, showing the TOTAL

AmOuNT received in 2011 for ALL members of the household. Provide a

copy of a utility Bill (gas, water, or electric) showing your current address.

Unusual CircumstancesH

Non-Taxable IncomeG

business Owners or Self-EmployedI

ExplanationJ

Certification and AuthorizationK

REQuIRED DOCumENTATIONIf you have filed your 2011 IRS Form 1040:

If you have not filed your 2011 IRS Form 1040:

If you are an Independent Contractor or self-employed and have not filed your 2011 IRS form 1040:

If you receive non-taxable income:

8

School Name full mailing Address PRE K K 1 2 3 4 5 6 7 8 9 10 11 12 SPECIAL

ED.SCHOOL

CODEArchbishop John Carroll High School 211 Matson Ford Road, Radnor, PA 19087 x x x x 33017Archbishop Ryan High School 11201 Academy Road, Philadelphia, PA 19154 x x x x 33006Archbishop Ryan School for Deaf and Hard of Hearing Children 4251 L Street, Philadelphia, PA 19124 x 35001

Archbishop Wood Catholic High School 655 York Road, Warminster, PA 18974 x x x x 33019Assumption BVM School 290 State Road, West Grove, PA 19390 x x x x x x x x x x 31198Bishop McDevitt High School 125 Royal Avenue, Wyncote, PA 19095 x x x x 33020Bishop Shanahan High School 220 Woodbine Road Downingtown, PA 19335 x x x x 33000Blessed Teresa of Calcutta Education Center 256 Swamp Pike, Schwenksville, PA 19473 x x x x x x x x x x 34017Blessed Trinity Regional Catholic School 3033 Levick Street, Philadelphia, PA 19149 x x x x x x x x x x 35054Blessed Virgin Mary School 47 MacDade Boulevard, Darby, PA 19023 x x x x x x x x x x 31025Cardinal John Foley Regional 300 E. Eagle Road, Havertown, PA 19083 x x x x x x x x x x 35069Cardinal O'Hara High School 1701 S. Sproul Road, Springfield, PA 19064 x x x x 33018Christ the King School 3205 Chesterfield Road, Philadelphia, PA 19114 x x x x x x x x x 31092Conwell-Egan Catholic High School 611 Wistar Road, Fairless Hills, PA 19030 x x x x 33003Corpus Christi School 920 Sumneytown Pike, Lansdale, PA 19446 x x x x x x x x x x 31057DePaul Catholic School 44 W. Logan Street, Philadelphia, PA 19144 x x x x x x x x x 31153Father Judge High School 3301 Solly Avenue, Philadelphia, PA 19136 x x x x 33008Good Shepherd Catholic Regional School 835 North Hills Avenue, Ardsley, PA 19038 x x x x x x x x x x 31204Holy Cross Regional 701 Locust Street, Collegeville, PA 19426 x x x x x x x x x x 35063Holy Cross School 144 E. Mount Airy Avenue, Philadelphia, PA 19119 x x x x x x x x x 31094Holy Cross School 240 N. Bishop Avenue, Springfield, PA 19064 x x x x x x x x x x 31184Holy Family Regional Catholic School 3265 Concord Road, Aston, PA 19014 x x x x x x x x x 35072Holy Family Regional School 2477 Trenton Road, Levittown, PA 19056 x x x x x x x x x x 31203Holy Family School 221 Third Avenue, Phoenixville, PA 19460-0000 x x x x x x x x x x 31171Holy Innocents School 1312 E. Bristol Street, Philadelphia, PA 19124 x x x x x x x x x x 31096Holy Redeemer School 915 Vine Street, Philadelphia, PA 19107 x x x x x x x x x 31098Holy Rosary Regional 3040 Walton Road, Plymouth Meeting, PA 19462 x x x x x x x x x x 35061Holy Trinity School Stockham & Osborne Avenues, Morrisville, PA 19067 x x x x x x x x x x 31069Immaculate Heart of Mary School 815 E. Cathedral Road, Philadelphia, PA 19128 x x x x x x x x x x 31100John W. Hallahan Girls School 311 N. 19th Street, Philadelphia, PA 19103 x x x x 33009Lansdale Catholic High School 700 Lansdale Ave., Lansdale, PA 19446 x x x x 33004Little Flower Catholic High School 10th & Lycoming Streets, Philadelphia, PA 19140 x x x x 33010Mary Mother of Peace Area Catholic School 64th & Buist Avenue, Philadelphia, PA 19142 x x x x x x x x x 31102Mary Mother of the Redeemer School 1321 upper State Road, North Wales, PA 19454 x x x x x x x x x x 34108Mater Dei Regional 493 E. Main Street, Lansdale, PA 19446 x x x x x x x x x x 35066Maternity BVM School 9322 Old Bustleton Avenue, Philadelphia, PA 19115 x x x x x x x x x x 31103

Mercy Vocational High School 2900 W. Hunting Park Avenue, Philadelphia, PA 19129 x x x x 34011

Monsignor Bonner Archbishop Prendergast Catholic High School

401-403 North Lansdowne Avenue, Drexel Hill, PA 19026 x x x x 33001

Mother Divine Grace School 2612 E Monmouth Street, Philadelphia, PA 19134 x x x x x x x x x x 31104Mother of Providence Regional 607 S. Providence Road, Wallingford, PA 19086 x x x x x x x x x x 35073Mother Teresa Regional 405 Allendale Road, King of Prussia, PA 19406 x x x x x x x x x x 35068Nativity of Our Lord School 585 W. Street Road, Warminster, PA 18974 x x x x x x x x x x 31191Notre Dame de Lourdes 990 Fairview Road, Swarthmore, PA 19081 x x x x x x x x x x 31187Our Lady of Angels Regional 2130 Franklin Avenue, Morton, PA 19070 x x x x x x x x x x 35070Our Lady of Calvary School 11023 Kipling Lane, Philadelphia, PA 19154 x x x x x x x x x x 31108Our Lady of Confidence Day School 314 N. Easton Road, Willow Grove, PA 19090 x 35003Our Lady of Consolation Early Childhood Learning Center 603 West Second Avenue, Parkesburg, PA 19365 x 35045

Our Lady of Good Counsel 2nd Street Pike & Knowles Avenue, Southampton, PA 18966 x x x x x x x x x x 31183

Our Lady of Grace School 300 Hulmeville Avenue, Penndel, PA 19047 x x x x x x x x x x 31088Our Lady of Hope Regional 1248 Jackson Street, Philadelphia, PA 19148 x x x x x x x x x x 35059Our Lady of Mercy Regional 29 Conwell Drive, Maple Glen, PA 19002 x x x x x x x x x 35064Our Lady of Mount Carmel 225 E. Ashland Street, Doylestown, PA 18901 x x x x x x x x x 31027Our Lady of Port Richmond School 3233 Thompson Street, Philadelphia, PA 19134 x x x x x x x x x x 35046Our Lady of the Assumption School 135 Fairfield Lane, Stafford, PA 19087 x x x x x x x x x 35042Our Mother Consolation 17 E. Chestnut Hill Avenue, Philadelphia, PA 19118 x x x x x x x x x x 31109Our Mother of Sorrows/St. Ignatius 1008 North 48th Street, Philadelphia, PA 19135 x x x x x x x x x x 31117Pope John Paul II High School 181 Rittenhouse Road, Royersford, PA 19468 x x x x 35047Pope John Paul II Regional Catholic Elementary School 2875 Manor Road, West Brandywine, PA 19320 x x x x x x x x x 35006

Presentation BVM 105 Old Soldiers Road, Cheltenham, PA 19012 x x x x x x x x x x 31018queen of Angels Regional 401 N. Easton Road, Willow Grove, PA 19090 x x x x x x x x x x 35065

Archdiocese Schools

9

School Code List

School Name full mailing Address PRE K K 1 2 3 4 5 6 7 8 9 10 11 12 SPECIAL

ED.SCHOOL

CODEResurrection Regional 2020 Shelmire Street, Philadelphia, PA 19152 x x x x x x x x x x 35056Roman Catholic High School 301 N. Broad Street, Philadelphia, PA 19107 x x x x 33012Sacred Heart School 109 N. Manoa Road, Havertown, PA 19083 x x x x x x x x x x 31046Sacred Heart School 203 Church Road, Oxford, PA 19363 x x x x x x x x x x 31086SS. Colman-John Neumann 372 Highland Lane, Bryn Mawr, PA 19010 x x x x x x x x x 31015SS. John Neumann and Maria Goretti Catholic High School 1736 South 10th Street, Philadelphia, PA 19148 x x x x 33014

SS. Peter and Paul School 1327 Boot Road, West Chester, PA 19380 x x x x x x x x x x 31194SS. Philip and James School 721 East Lincoln Highway, Exton, PA 19341 x x x x x x x x x x 31035SS. Simon and Jude School 6 Cavanaugh Court, West Chester, PA 19382 x x x x x x x x x 31195St. Agnes 211 W. Gay Street, West Chester, PA 19380 x x x x x x x x x x 31196St. Agnes-Sacred Heart School 393 North Main Street, Sellersville, PA 18960 x x x x x x x x x x 31048St. Albert the Great School 214 Welsh Road, Huntingdon Valley, PA 19006 x x x x x x x x x 31051St. Aloysius 220 N. Hanover Street, Pottstown, PA 19464 x x x x x x x x x x 31173

St. Anastasia School 3309 West Chester Pike, Newtown Square, PA 1907 x x x x x x x x x x 31075

St. Andrew School 535 Mason Avenue, Drexel Hill, PA 19026 x x x x x x x x x x 31028St. Andrew School 51 Wrights Road, Newtown, PA 18940 x x x x x x x x x x 31074St. Anselm Elementary School 12650 Dunks Ferry Road, Philadelphia, PA 19154 x x x x x x x x x x 31123St. Anthony of Padua Regional 913 Pierce Street, Philadelphia, PA 19148 x x x x x x x x x x 35058St. Athanasius 7105 Limekiln Pike, Philadelphia, PA 19138 x x x x x x x x x 31124St. Basil the Great School 2330 Kimberton Road, Kimberton, PA 19442 x x x x x x x x x x 31054St. Bernadette School Bond & Turner Avenues, Drexel Hill, PA 19026 x x x x x x x x x x 31029St. Cecilia School 525 Rhawn Street, Philadelphia, PA 19111 x x x x x x x x x 31131St. Charles Borromeo School 1704 Bristol Pike, Bensalem, PA 19020 x x x x x x x x x x 31006St. Christopher School 13305 Proctor Road, Philadelphia, PA 19116 x x x x x x x x x x 31132St. Cornelius School 160 Ridge Road, Chadds Ford, PA 19317 x x x x x x x x x x 11020St. Cyril Alexandria School 716 Emerson Avenue, East Lansdowne, PA 19050 x x x x x x x x x 31033St. Dominic School 8510 Frankford Avenue, Philadelphia, PA 19136 x x x x x x x x x x 31134St. Dorothy School 1225 Burmont Road, Drexel Hill, PA 19026 x x x x x x x x x 31031St. Elizabeth 120 St. Elizabeth Drive, uwchlan, PA 18480 x x x x x x x x x 32017St. Ephrem School 5340 Hulmeville Road, Bensalem, PA 19020 x x x x x x x x x 31007St. Eugene School 110 S. Oak Avenue, Primos, PA 19018 x x x x x x x x x 31175St. Frances Cabrini Regional 405 N. 65th Street, Philadelphia, PA 19151 x x x x x x x x x x 35057St. Francis Desales Parochial 39 New Road, Aston, PA 19014 x x x x x x x x x 31003St. Francis Desales School 917 S. 47th Street, Philadelphia, PA 19143 x x x x x x x x x 31136St. Francis of Assisi School 601 Buttonwood Street, Norristown, PA 19401 x x x x x x x x x x 31077St. Francis of Assisi School 112 Saxer Avenue, Springfield, PA 19064 x x x x x x x x x 31185St. Francis Xavier School 641 N. 24th Street, Philadelphia, PA 19130 x x x x x x x x x 31137St. Gabriel School 2917 Dickinson Street, Philadelphia, PA 19146 x x x x x x x x x x 31095St. Genevieve School 1237 Bethlehem Pike, Flourtown, PA 19031 x x x x x x x x x 31039St. George School 2700 E. Venango Street, Philadelphia, PA 19134 x x x x x x x x x x 31138St. Helena School 1499 DeKalb Pike, Blue Bell, PA 19422 x x x x x x x x x x 31009St. Helena/Incarnation Regional 6106 N. Fifth Street, Philadelphia, PA 19120 x x x x x x x x x x 35055St. Hilary of Poiters School 920 Susquehanna Road, Rydal, PA 19046 x x x x x x x x x 31180St. Hubert Catholic High School 7320 Torresdale Avenue, Philadelphia, PA 19136 x x x x 33013St. Ignatius 995 Reading Avenue, Yardley, PA 19067 x x x x x x x x x x 31201St. Isaac Jogues Preschool 50 W. Walker Road, Wayne, PA 19087 x 35041St. Isidore School 603 W. Broad Street, quakertown, PA 18951 x x x x x x x x x x 31176St. James Regional 500 Tome Street, Ridley Park, PA 19078 x x x x x x x x x x 35071St. Jerome School 3031 Stamford Street, Philadelphia, PA 19136 x x x x x x x x x x 31142St. John the Baptist School 4040 Durham Road, Ottsville, PA 18942 x x x x x x x x x x 31085St. Joseph School 340 Manor Avenue, Downingtown, PA 19335 x x x x x x x x x 31026St. Joseph the Protector 2336 Fairhill Avenue, Glenside, PA 19038 x x x x x x x x x 35067St. Joseph-St. Robert School 850 Euclid Avenue, Warrington, PA 18976 x x x x x x x x x x 31192St. Jude 323 W. Butler Avenue, Chalfont, PA 18914 x x x x x x x x x x 31017St. Katherine Day School 930 Bowman Avenue, Wynnewood, PA 19096 x 35004St. Katharine Drexel Regional 1053 Holland Road, Holland, PA 18966 x x x x x x x x x 35074St. Katharine of Siena 229 Windermere Avenue, Wayne, PA 19087 x x x x x x x x x 31193St. Katherine Siena School 9738 Frankford Avenue, Philadelphia, PA 19114 x x x x x x x x x 31146St. Laurence School 8245 W. Chester Pike, upper Darby, PA 19082 x x x x x x x x x x 31189St. Laurentius School 1612 E. Berks Street, Philadelphia, PA 19125-2804 x x x x x x x x x x 31147St. Lucy Day School For Children With Visual Impairments 4251 L Street, Philadelphia, PA 19124 x 35002

St. Malachy School 1415 N. 11th Street, Philadelphia, PA 19122 x x x x x x x x x 31150St. Margaret School 227 N. Narberth Avenue, Narberth, PA 19072 x x x x x x x x x x 31072St. Mark School 1024 Radcliffe Street, Bristol, PA 19007 x x x x x x x x x 31012

10

School Code List (cont.)

School Name full mailing Address PRE K K 1 2 3 4 5 6 7 8 9 10 11 12 SPECIAL

ED.SCHOOL

CODESt. Martha School 11321 Academy Road, Philadelphia, PA 19154 x x x x x x x x x x 31151St. Martin de Porres North 2300 W. Lehigh Avenue, Philadelphia, PA 19132 x x x x x x x x x 31152

St. Martin of Tours School Roosevelt Boulevard & Sanger Street, Philadelphia, PA 19124 x x x x x x x x x x 31154

St. Mary Magdalen School 2430 N. Providence Road, Media, PA 19063 x x x x x x x x x 31067St. Mary School 40 Spring Mount Road, Schwenksville, PA 19473 x x x x x x x x x 31181St. Marys Interparochial School 5th & Locust Streets, Philadelphia, PA 19106 x x x x x x x x x 31155St. Matthew School 3040 Cottman Avenue, Philadelphia, PA 19149 x x x x x x x x x 31157St. Maximilian Kolbe School 300 Daly Drive, West Chester, PA 19382 x x x x x x x x x x 31197St. Michael The Archangel School 130 Levittown Parkway, Levittown, PA 19054 x x x x x x x x x x 31062St. Monica School 2500 S. 16th Street, Philadelphia, PA 19145 x x x x x x x x x 31158St. Norbert School 6 Greenlawn Road, Paoli, PA 19301 x x x x x x x x x x 31087St. Patrick School 115 Channing Avenue, Malvern, PA 19355 x x x x x x x x x 31064St. Peter the Apostle School 1009 N. 5th Street, Philadelphia, PA 19123 x x x x x x x x x x 31160St. Philip Neri School 3015 Chestnut Street, Lafayette Hill, PA 19444 x x x x x x x x x x 31056St. Pio Catholic Regional School 1826 Pollock Street, Philadelphia, PA 19145 x x x x x x x x x x 35060St. Pius X School 204 S Lawrence Road, Broomall, PA 19008 x x x x x x x x x x 31014St. Raymond School 7940 Williams Avenue, Philadelphia, PA 19150 x x x x x x x x x x 31161St. Rose of Lima School 1522 N. Wanamaker Street, Philadelphia, PA 19131 x x x x x x x x x x 31163St. Thomas Apostle School 430 Valleybrook Road, Glen Mills, PA 19342 x x x x x x x x x x 31040St. Thomas Aquinas School 18th & Morris Streets, Philadelphia, PA 19145 x x x x x x x x x 31165St. Veronica School 3521 N. 6th Street, Philadelphia, PA 19140 x x x x x x x x x 31167Visitation BVM School 190 North Trooper Road, Norristown, PA 19403 x x x x x x x x x x 31081Visitation School 300 E. Lehigh Avenue, Philadelphia, PA 19125 x x x x x x x x x x 31170West Philadelphia Catholic High School 4501 Chestnut Street, Philadelphia, PA 19139 x x x x 33015

School Code List (cont.)

Academy of Notre Dame 560 Sproul Road, Villanova, PA 19085 x x x x 34014Armenian Sisters Academy 440 upper Gulph Road, Radnor, PA 19087 x x x x x x x x x x 32011Ancillae-Assumpta Academy 2025 Church Road, Wyncote, PA 19095 x x x x x x x x x x 32013Country Day School of the Sacred Heart 480 S. Bryn Mawr Avenue, Bryn Mawr, PA 19010 x x x x x x x x x x 32000Country Day School of the Sacred Heart High School 480 Bryn Mawr Avenue, Bryn Mawr, PA 19010 x x x x 34001

Cristo Rey 5218 N Broad Street, Philadelphia, PA 19141 x x x x 35052

Devon Prep 363 Valley Forge Road, Devon, PA 19333 x x x x x x x 34002

Drexel Neumann Academy 1901 Potter Street, Chester, PA 19013 x x x x x x x x x x 35037Gesu 1700 W. Thompson Street, Philadelphia, PA 19121 x x x x x x x x x x 32007Grey Nun Academy 1750 quarry Road, Yardley, PA 19067 x x x x x x x x x x 32015

Gwynedd Mercy Academy 816 Norristown Road P.O. Box 241, Springhouse, PA 19477 x x x x x x x x x x 32006

Gwynedd Mercy Academy High School 1345 Sumneytown Pike, P.O. Box 902, Gwynedd Valley, PA 19437 x x x x 34005

Holy Child Academy 475 Shadeland Avenue, Drexel Hill, PA 19026 x x x x x x x x x x 32003Holy Ghost Prep 2429 Bristol Pike, Bensalem, PA 19020 x x x x 34000LaSalle Academy 1434 N. 2nd Street, Philadelphia, PA 19122 x x x x x x 32008LaSalle College High School 8605 Cheltenham Avenue, Wyndmoor, PA 19038 x x x x 34015Malvern Prep 418 S. Warren Avenue, Malvern, PA 19335 x x x x 34008Merion Mercy Academy 511 Montgomery Avenue, Merion Station, PA 19066 x x x x 34010Mount St. Joseph Academy 120 West Wissahickon Avenue, Flourtown, PA 19031 x x x x 34003Nazareth Academy Grade School 4701 Grant Avenue, Philadelphia, PA 19114 x x x x x x x x x x 32009Nazareth Academy High School 4001 Grant Avenue, Philadelphia, PA 19114 x x x x 34012Norwood-Fontbonne Academy 8891 Germantown Avenue, Philadelphia, PA 19119 x x x x x x x x x x 32002Regina Angelorum Academy 105 Argyle Road, Ardmore, PA 19003 x x x x x x x x x x 35051Regina Coeli Academy 1108 E. Willow Grove Avenue, Wyndmoor, PA 19038 x x x x x x x x x x 32016

Regina Luminus Academy 40 West Pennsylvania Avenue Downingtown, PA 19335 x x x x x x x x x 35049

Regina Luminus Academy (High School) 40 West Pennsylvania Avenue Downingtown, PA 19335 x x x x 35050

Rosemont School of the Holy Child 1344 Montgomery Avenue, Rosemont, PA 19010 x x x x x x x x x x 32011St. Aloysius Academy 401 S. Bryn Mawr Avenue, Bryn Mawr, PA 19010 x x x x x x x x x x 32001St. Basil Academy 711 Fox Chase Road, Jenkintown, PA 19046 x x x x 34007St. Joseph's Preparatory School 1733 West Girard Avenue, Philadelphia, PA 19130 x x x x 34013St. Thomas of Villanova 1236 Montrose Avenue, Rosemont, PA 19010 x 35044Villa Joseph Marie High School for Girls 1180 Holland Road, Holland, PA 18966 x x x x 34006Villa Maria Academy 1140 King Road, Immaculata, PA 19345 x x x x x x x x x x 32004Villa Maria Academy High School 370 Old Lincoln Highway, Malvern, PA 19355 x x x x 34009Waldron Mercy Academy 513 Montgomery Avenue, Merion Station, PA 19066 x x x x x x x x x x 32005

Private Schools

11

Parish City CodeAll Saints Philadelphia 5500Annunciation B.V.M. Havertown 5501Annunciation B.V.M. Philadelphia 5502Ascension of Our Lord Philadelphia 5503Assumption B.V.M. Feasterville 5504Assumption B.V.M. West Grove 5505Blessed Teresa of Calcutta Schwenksville 5506Blessed Virgin Mary Darby 5507Cathedral Basilica of SS. Peter and Paul Philadelphia 5508Christ the King Philadelphia 5509Corpus Christi Lansdale 5510Divine Mercy Philadelphia 5511Epiphany of Our Lord Plymouth Meeting 5512Epiphany of Our Lord Philadelphia 5513Holy Angels Philadelphia 5514Holy Cross Springfield 5515Holy Cross Philadelphia 5516Holy Family Philadelphia 5517Holy Innocents Philadelphia 5518Holy Martyrs Oreland 5519Holy Name of Jesus Philadelphia 5520Holy Saviour Linwood 5521Holy Saviour Norristown 5522Holy Spirit Sharon Hill 5523Holy Spirit Philadelphia 5524Holy Trinity Morrisville 5525Immaculate Conception Marcus Hook 5526Immaculate Conception B.V.M. Levittown 5527Immaculate Conception B.V.M. Jenkintown 5528Immaculate Heart of Mary Philadelphia 5529Incarnation of Our Lord Philadelphia 5530Mary, Mother of the Redeemer North Wales 5531Mater Dolorosa Philadelphia 5532Maternity B.V.M. Philadelphia 5533Mother of Divine Grace Philadelphia 5534Mother of Divine Providence King of Prussia 5535Nativity B.V.M. Philadelphia 5536Nativity B.V.M. Media 5537Nativity of Our Lord Warminster 5538Notre Dame de Lourdes Swarthmore 5539Old Saint Mary’s Philadelphia 5540Old St. Joseph’s Philadelphia 5541Our Lady Help of Christians Philadelphia 5542Our Lady Help of Christians Abington 5543Our Lady of Calvary Philadelphia 5544Our Lady of Charity Brookhaven 5545Our Lady of Consolation Philadelphia 5546Our Lady of Consolation Parkesburg 5547Our Lady of Fatima Bensalem 5548Our Lady of Fatima Secane 5549Our Lady of Good Counsel Southampton 5550Our Lady of Grace Penndel 5551Our Lady of Guadalupe Doylestown 5552Our Lady of Hope Philadelphia 5553Our Lady of Lourdes Philadelphia 5554Our Lady of Mount Carmel Doylestown 5555Our Lady of Mount Carmel Bridgeport 5556Our Lady of Mount Carmel Philadelphia 5557Our Lady of Peace Milmont Park 5558Our Lady of Perpetual Help Morton 5559Our Lady of Ransom Philadelphia 5560Our Lady of the Assumption Strafford 5561Our Lady of the Blessed Sacrament Philadelphia 5562Our Lady of the Rosary Coatesville 5563Our Lady of the Sacred Heart Hilltown 5564Our Mother of Consolation Philadelphia 5565Our Mother of Good Counsel Bryn Mawr 5566Our Mother of Sorrows Philadelphia 5567Presentation B.V.M. Cheltenham 5568Presentation B.V.M. Wynnewood 5569queen of Peace Ardsley 5570queen of the universe Levittown 5571Resurrection of Our Lord Philadelphia 5572Sacred Heart Clifton Heights 5573Sacred Heart Havertown 5574Sacred Heart Oxford 5575Sacred Heart Royersford 5576

Parish City CodeSacred Heart Swedesburg 5577Sacred Heart of Jesus Philadelphia 5578SS. Cosmas and Damian Conshohocken 5579SS. Peter and Paul West Chester 5580SS. Philip and James Exton 5581SS. Simon and Jude West Chester 5582St. Adalbert Philadelphia 5583St. Agatha-St. James Philadelphia 5584St. Agnes Sellersville 5585St. Agnes West Chester 5586St. Agnes-St. John Nepomucene Philadelphia 5587St. Albert the Great Huntingdon Valley 5588St. Alice upper Darby 5589St. Aloysius Pottstown 5590St. Alphonsus Maple Glen 5591St. Ambrose Philadelphia 5592St. Anastasia Newtown Square 5593St. Andrew Newtown 5594St. Andrew Philadelphia 5595St. Andrew the Apostle Drexel Hill 5596St. Ann Bristol 5597St. Ann Phoenixville 5598St. Anne Philadelphia 5599St. Anselm Philadelphia 5600St. Anthony of Padua Ambler 5601St. Athanasius Philadelphia 5602St. Augustine Bridgeport 5603St. Augustine Philadelphia 5604St. Barbara Philadelphia 5605St. Barnabas Philadelphia 5606St. Bartholomew Philadelphia 5607St. Basil the Great Kimberton 5608St. Bede the Venerable Holland 5609St. Benedict Philadelphia 5610St. Bernadette Drexel Hill 5611St. Bernard Philadelphia 5612St. Bridget Philadelphia 5613St. Callistus Philadelphia 5614St. Catherine of Siena Horsham 5615St. Cecilia Philadelphia 5616St. Charles Borromeo Drexel Hill 5617St. Charles Borromeo Bensalem 5618St. Charles Borromeo Philadelphia 5619St. Christopher Philadelphia 5620St. Colman Ardmore 5621St. Cornelius Chadds Ford 5622St. Cyprian Philadelphia 5623St. Cyril of Alexandria East Lansdowne 5624St. Cyril of Jerusalem Jamison 5625St. David Willow Grove 5626St. Denis Havertown 5627St. Dominic Philadelphia 5628St. Donato Philadelphia 5629St. Dorothy Drexel Hill 5630St. Edmond Philadelphia 5631St. Eleanor Collegeville 5632St. Elizabeth uwchlan 5633St. Elizabeth Ann Seton Bensalem 5634St. Ephrem Bensalem 5635St. Eugene Primos 5636St. Frances Cabrini Fairless Hills 5637St. Francis de Sales Lenni 5638St. Francis de Sales Philadelphia 5639St. Francis of Assisi Springfield 5640St. Francis of Assisi Norristown 5641St. Francis Xavier Philadelphia 5642St. Gabriel Norwood 5643St. Gabriel Philadelphia 5644St. Gabriel of the Sorrowful Mother Avondale 5645St. Gabriel of the Sorrowful Mother Stowe 5646St. Genevieve Flourtown 5647St. George Philadelphia 5648St. George Glenolden 5649St. Gertrude West Conshohocken 5650St. Helena Philadelphia 5651St. Helena Blue Bell 5652St. Hilary of Poitiers Rydal 5653

Archdiocese of Philadelphia Parish Code List

12

Parish City CodeSt. Hugh of Cluny Philadelphia 5654St. Ignatius of Antioch Yardley 5655St. Ignatius of Loyola Philadelphia 5656St. Isaac Jogues Wayne 5657St. Isidore quakertown 5658St. James Elkins Park 5659St. Jerome Philadelphia 5660St. Joachim Philadelphia 5661St. Joan of Arc Philadelphia 5662St. John Baptist Vianney Gladwyne 5663St. John Bosco Hatboro 5664St. John Cantius Philadelphia 5665St. John Chrysostom Wallingford 5666St. John Fisher Boothwyn 5667St. John Neumann Bryn Mawr 5668St. John of the Cross Roslyn 5669St. John the Baptist Ottsville 5670St. John the Baptist Philadelphia 5671St. John the Evangelist Morrisville 5672St. John the Evangelist Philadelphia 5673St. Joseph Collingdale 5674St. Joseph Warrington 5675St. Joseph Cheltenham 5676St. Joseph Aston 5677St. Joseph Coatesville 5678St. Joseph Spring City 5679St. Joseph Downingtown 5680St. Joseph Ambler 5681St. Joseph the Worker Fallsington 5682St. Jude Chalfont 5683St. Katharine Drexel Chester 5684St. Katharine of Siena Wayne 5685St. Katherine of Siena Philadelphia 5686St. Kevin Springfield 5687St. Laurence upper Darby 5688St. Laurentius Philadelphia 5689St. Lawrence Riegelsville 5690St. Leo Philadelphia 5691St. Louis Yeadon 5692St. Luke the Evangelist Glenside 5693St. Madeleine Sophie Philadelphia 5694St. Madeline Ridley Park 5695St. Malachy Philadelphia 5696St. Margaret Narberth 5697St. Margaret Mary Alacoque Essington 5698St. Maria Goretti Hatfield 5699St. Mark Bristol 5700St. Martha Philadelphia 5701St. Martin de Porres Philadelphia 5702St. Martin of Tours New Hope 5703St. Martin of Tours Philadelphia 5704St. Mary Schwenksville 5705St. Mary Conshohocken 5706St. Mary Magdalen Media 5707St. Mary of the Assumption Phoenixville 5708St. Matthew Philadelphia 5709St. Matthew Conshohocken 5710St. Matthias Bala Cynwyd 5711St. Maximilian Kolbe West Chester 5712St. Michael Philadelphia 5713St. Michael the Archangel Levittown 5714St. Monica Berwyn 5715St. Monica Philadelphia 5716St. Nicholas of Tolentine Philadelphia 5717St. Norbert Paoli 5718St. Patrick Kennett Square 5719St. Patrick Malvern 5720St. Patrick Norristown 5721St. Patrick Philadelphia 5722St. Paul East Norriton 5723St. Paul Philadelphia 5724St. Peter West Brandywine 5725St. Peter the Apostle Philadelphia 5726St. Philip Neri Pennsburg 5727St. Philip Neri Lafayette Hill 5728St. Philip Neri Philadelphia 5729

Parish City CodeSt. Philomena Lansdowne 5730St. Pius X Broomall 5731St. Raymond of Penafort Philadelphia 5732St. Richard Philadelphia 5733St. Rita of Cascia Philadelphia 5734St. Robert Bellarmine Warrington 5735St. Rocco Avondale 5736St. Rose of Lima Eddystone 5737St. Rose of Lima North Wales 5738St. Rose of Lima Philadelphia 5739St. Stanislaus Lansdale 5740St. Teresa of Avila Norristown 5741St. Therese of the Child Jesus Philadelphia 5742St. Thomas Aquinas Croydon 5743St. Thomas Aquinas Philadelphia 5744St. Thomas More Pottstown 5745St. Thomas of Villanova Rosemont 5746St. Thomas the Apostle Glen Mills 5747St. Timothy Philadelphia 5748St. Titus Norristown 5749St. Veronica Philadelphia 5750St. Vincent de Paul Richboro 5751St. Vincent de Paul Philadelphia 5752St. William Philadelphia 5753Stella Maris Philadelphia 5754Visitation B.V.M. Philadelphia 5755Visitation B.V.M. Norristown 5756

Archdiocese of Philadelphia Parish Code List (cont.)

No Parish/Not Catholic 5499

13