FORM 1023-EZ for LITTLE RAIDER WRESTLING BOOSTERS INC

Field Data
EIN 46-1916300
Case Number EO-2018128-000872
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE RAIDER WRESTLING BOOSTERS INC
Organization’s Mailing Address 154 MARTIN RD
City MEYERSDALE
State PA
ZIP 15552
Accounting period End 5
Primary contact name AIMEE ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN DEIST
PRESIDENT
4670 GLENCOE RD
MEYERSDALE PA 15552

Officer/Director/Trustee Two

ANDREW MCKENZIE
VICE PRESIDENT
207 KEYSTONE ST
MEYERSDALE PA 15552

Officer/Director/Trustee Three

STEPHANIE DONALDSON
SECRETARY
122 OLINGER ST
MEYERSDALE PA 15552

Officer/Director/Trustee Four

AIMEE ROBERTSON
TREASURER
154 MARTIN RD
MEYERSDALE PA 15552

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/11
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
Correctness Declaration Yes
Signature Name AIMEE ROBERTSON
Signature Title TREASURER
Signature Date 5/2/18
EIN 46-1916300
Case Number EO-2015125-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITTLE RAIDER WRESTLING BOOSTERS
Organization’s Mailing Address 154 MARTIN RD
City MEYERSDALE
State PA
ZIP 15552
Accounting period End 5
Primary contact name AIMEE ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN DEIST
PRESIDENT
4670 GLENCOE RD
MEYERSDALE PA 15552

Officer/Director/Trustee Two

ANDY MCKENZIE
VICE PRESIDENT
207 KEYSTONE ST
MEYERSDALE PA 15552

Officer/Director/Trustee Three

GIDGET BROOKS
SECRETARY
213 KEYSTONE ST
MEYERSDALE PA 15552

Officer/Director/Trustee Four

AIMEE ROBERTSON
TREASURER
154 MARTIN RD
MEYERSDALE PA 15552

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2011
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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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