FORM 1023-EZ for EMPTY BOWLS LUZERNE COUNTY

Field Data
EIN 83-2183446
Case Number EO-2018297-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPTY BOWLS LUZERNE COUNTY
Organization’s Mailing Address 19 CONYNGHAM STREET
City ASHLEY
State PA
ZIP 18706-2905
Accounting period End 12
Primary contact name JUSTIN RUBAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE RUBAL
PRESIDENT
19 CONYNGHAM STREET
ASHLEY PA 18706-2905

Officer/Director/Trustee Two

JUSTIN RUBAL
VICE-PRESIDENT
19 CONYNGHAM STREET
ASHLEY PA 18706-2905

Organization’s website
Organization’s email EMPTYBOWLS.LUZERNECOUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - 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 JUSTIN RUBAL
Signature Title VICE-PRESIDENT
Signature Date 10/21/18

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