FORM 1023-EZ for LIONS DEN WRESTLING BOOSTER CLUB

Field Data
EIN 46-5742428
Case Number EO-2015005-000037
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS DEN WRESTLING BOOSTER CLUB
Organization’s Mailing Address PO BOX 137
City ARMAGH
State PA
ZIP 15920
Accounting period End 12
Primary contact name MICHELLE MCMULLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEIL MAGRO
PRESIDENT
1060 GAS CENTER ROAD
VINTONDALE PA 15961

Officer/Director/Trustee Two

SHANNON PISARCIK
VICE PRESIDENT
215 HORSE THIEF ROAD
NEW FLORENCE PA 15944

Officer/Director/Trustee Three

REBECCA FREDERICK
SECRETARY
5400 FERGUSON ROAD
INDIANA PA 15701

Officer/Director/Trustee Four

MICHELLE MCMULLEN
TREASURER
PO BOX 137
ARMAGH PA 15920

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
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
Signature Title
Signature Date

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