FORM 1023-EZ for PALMYRA HS GIRLS LACROSSE

Field Data
EIN 82-5240842
Case Number EO-2018253-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALMYRA HS GIRLS LACROSSE
Organization’s Mailing Address PO BOX 284
City PALMYRA
State PA
ZIP 17078-281
Accounting period End 6
Primary contact name HOLLY NOLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS SHOEMAKER
PRESIDENT
81 AUBURN DR
ANNVILLE PA 17003-8604

Officer/Director/Trustee Two

MARIE BAUER
VICE PRESIDENT
42 OATFIELD LN
PALYMYRA PA 17078-3084

Officer/Director/Trustee Three

HOLLY NOLEN
TREASURER
40 BLACKBERRY LN
PALMYRA PA 17078-8657

Officer/Director/Trustee Four

LISA MCKILLOP
SECRETARY
548 SWEETWATER DR
PALMYRA PA 17078-8641

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 HOLLY NOLEN
Signature Title TREASURER
Signature Date 9/7/18

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