FORM 1023-EZ for WARRIORS MARK AREA HISTORICAL SOCIETY

Field Data
EIN 83-1272728
Case Number EO-2018204-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARRIORS MARK AREA HISTORICAL SOCIETY
Organization’s Mailing Address 4533 MEADOWWOOD LANE
City WARRIORS MARK
State PA
ZIP 16877
Accounting period End 12
Primary contact name EILEEN LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EILEEN LONG
PRES.
4533 MEADOWWOOD LANE
WARRIORS MARK PA 16877

Officer/Director/Trustee Two

PETE LIESE
VP
1627 ARBUTUS LANE
WARRIORS MARK PA 16877

Officer/Director/Trustee Three

PAUL SMITH
TRES
PO BOX 161
WARRIORS MARK PA 16877

Officer/Director/Trustee Four

SUSAN SMITH
SEC
PO BOX 161
WARRIORS MARK PA 16877

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EILEEN LONG
Signature Title PRES.
Signature Date 7/20/18

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