FORM 1023-EZ for NORTHERN LEBANON BOYS SOCCER

Field Data
EIN 82-3064175
Case Number EO-2017289-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN LEBANON BOYS SOCCER
Organization’s Mailing Address 19 RACEHORSE DRIVE
City JONESTOWN
State PA
ZIP 17038
Accounting period End 6
Primary contact name MICHELLE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MOORE
PRESIDENT
15 RACEHORSE DRIVE
JONESTOWN PA 17038

Officer/Director/Trustee Two

AMBER WOLFE
VICE PRESIDENT
23 SUPERVISOR DRIVE
JONESTOWN PA 17038

Officer/Director/Trustee Three

APRIL TINTO MCINTYRE
SECRETARY
446 A MONROE VALLEY DRIVE
JONESTOWN PA 17038

Officer/Director/Trustee Four

ANITA BARR
TREASURER
10589 ALLENTOWN BLVD
ANNVILLE PA 17003

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 Yes
One Third Support Gifts No
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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