FORM 1023-EZ for BELLEAU WOOD LEATHERNECKS INC

Field Data
EIN 82-1691574
Case Number EO-2018113-000572
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLEAU WOOD LEATHERNECKS INC
Organization’s Mailing Address 8076 N DELAWARE DRIVE
City BANGOR
State PA
ZIP 18013
Accounting period End 12
Primary contact name KRISTOFER M METZGER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CIASULLI
PRESIDENT/DIRECTOR
8076 N DELAWARE DRIVE
BANGOR PA 18013

Officer/Director/Trustee Two

ROY LEIDY
TREASURER/DIRECTOR
318 WALNUT DRIVE
NORTHAMPTON PA 18067-9262

Officer/Director/Trustee Three

SCOTT ANDERSON
SECRETARY/DIRECTOR
3665 STATION AVENUE
CENTER VALLEY PA 18034

Officer/Director/Trustee Four

LEE MILLER
DIRECTOR
1692 BEST PLACE
BETHLEHEM PA 18017

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MICHAEL CIASULLI
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/20/18

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