FORM 1023-EZ for PANTHERS ATHLETIC CLUB

Field Data
EIN 52-2125729
Case Number EO-2019221-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANTHERS ATHLETIC CLUB
Organization’s Mailing Address 8459 BUSSENIUS RD
City PASADENA
State MD
ZIP 21122
Accounting period End 12
Primary contact name PAMELA BLADES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA BLADES
TREASURER
176 INVERNESS RD
SEVERNA PARK MD 21146

Officer/Director/Trustee Two

LISA ELLIOTT
PRESIDENT
8459 BUSSENIUS RD
PASADENA MD 21122

Officer/Director/Trustee Three

ROBERT ELLIOTT
VICE PRESIDENT
8459 BUSSENIUS RD
PASADENA MD 21122

Officer/Director/Trustee Four

WENDY DIXON
SECRETARY
232 OAK HOLLOW CT
PASADENA MD 21122

Officer/Director/Trustee Five

PAMELA BLADES
TREASURER
176 INVERNESS RD
SEVERNA PARK MD 21146

Organization’s website HTTP://PAC.SPORTSSIGNUP.COM/SITE/
Organization’s email BLADESBOYS@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/98
Organization Incorporation State MD
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: 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 Yes
Correctness Declaration Yes
Signature Name PAMELA BLADES
Signature Title TREASURER
Signature Date 8/7/19

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