FORM 1023-EZ for MCDOWELL AQUATICS BOOSTERS

Field Data
EIN 27-0428547
Case Number EO-2015183-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MCDOWELL AQUATICS BOOSTERS
Organization’s Mailing Address 3580 WEST 38TH STREET
City ERIE
State PA
ZIP 16506
Accounting period End 6
Primary contact name TRACY ROTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACY ROTH
TREASURER
5236 NATALIE CT
ERIE PA 16506

Officer/Director/Trustee Two

SCOTT LEE
PRESIDENT
3137 HEMLOCK DRIVE
ERIE PA 16506

Officer/Director/Trustee Three

DOUG FLEMING
VICE PRESIDENT
2723 WEST 34TH STREET
ERIE PA 16506

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2009
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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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