FORM 1023-EZ for FALCON YOUTH FOOTBALL

Field Data
EIN 84-2081815
Case Number EO-2019196-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALCON YOUTH FOOTBALL
Organization’s Mailing Address 1451 QUENTIN ROAD SUITE 400 BOX 116
City LEBANON
State PA
ZIP 17042
Accounting period End 4
Primary contact name GREGORY P FINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY FINK
PRESIDENT
412 GARY AVE
LEBANON PA 17046

Officer/Director/Trustee Two

RACHELLE ISGRIGGS
SECRETARY
1027 FRANKLIN AVE
LEBANON PA 17042

Officer/Director/Trustee Three

AMY WOLFE
TREASURER
865 JAY STREET
LEBANON PA 17046

Officer/Director/Trustee Four

STAR BRUBAKER
FUND RAISING COORDINATOR
270 STRACK DRIVE
MYERSTOWN PA 17067

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GREGORY FINK
Signature Title PRESIDENT
Signature Date 7/12/19

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