FORM 1023-EZ for BRUSHTOWN BOMBERS

Field Data
EIN 82-3773948
Case Number EO-2018106-001175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRUSHTOWN BOMBERS
Organization’s Mailing Address 15 FRANKLIN DRIVE
City MCSHERRYSTOWN
State PA
ZIP 17344-1616
Accounting period End 12
Primary contact name DAVID STAUB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID STAUB
PRESIDENT
15 FRANKLIN DRIVE
MCSHERRYSTOWN PA 17344-1616

Officer/Director/Trustee Two

MIKE MARTIN
VICE PRESIDENT
197 FRIENDLY DRIVE
HANOVER PA 17331

Officer/Director/Trustee Three

DAN LAWRENCE
SECRETARY
233 FRIENDLY DRIVE
HANOVER PA 17331

Officer/Director/Trustee Four

LORI HEBERLIND
TREASURER
377 EL VISTA DRIVE
HANOVER PA 17331

Organization’s website HTTP://WWW.LEAGUELINEUP.COM/WELCOME.ASP?URL=BRUSHTOWNBOMBERS
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Correctness Declaration Yes
Signature Name DAVID STAUB
Signature Title PRESIDENT
Signature Date 4/13/18

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