FORM 1023-EZ for MIFFLIN COUNTY DRAMA CLUB ASSOCIATION

Field Data
EIN 84-3639091
Case Number EO-2020015-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIFFLIN COUNTY DRAMA CLUB ASSOCIATION
Organization’s Mailing Address 165 PARK DRIVE
City REEDSVILLE
State PA
ZIP 17084
Accounting period End 6
Primary contact name MATT MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT MOORE
PRESIDENT/DIRECTOR
208 SHAW AVENUE
LEWISTOWN PA 17044

Officer/Director/Trustee Two

JUDY FITZGERALD
VICE PRESIDENT
1460 GREEN LANE
REEDSVILLE PA 17084

Officer/Director/Trustee Three

AMANDA HERTZLER
SECRETARY
211 3RD AVENUE
BURNHAM PA 17009

Officer/Director/Trustee Four

ELLEN SHEETZ
TREASURER
165 PARK DRIVE
REEDSVILLE PA 17084

Officer/Director/Trustee Five

SHELBY LIEBEGOTT
FINANCIAL SECRETARY
119 ACADEMY HILL
LEWISTOWN PA 17044

Organization’s website
Organization’s email SHEETZ@FNB-CORP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - 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 MATT MOORE
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/13/2020

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