FORM 1023-EZ for LYCOMING COUNTY BROTHERHOOD COUNTYUSA INC

Field Data
EIN 46-2756283
Case Number EO-2015190-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LYCOMING COUNTY BROTHERHOOD COUNTYUSA INC
Organization’s Mailing Address 309 WEST THIRD STREET
City WILLIAMSPORT
State PA
ZIP 17701
Accounting period End 12
Primary contact name ELLIOTT B WEISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILLIP PREZIOSI
PRESIDENT
812 POPULAR STREET
WILLIAMSPORT PA 17701

Officer/Director/Trustee Two

BARRY RAKE
TREASURER
249 BROAD STREET
MONTOURSVILLE PA 17754

Officer/Director/Trustee Three

ELLIOTT WEISS
TRUSTEE
108 GRAMPIAN BLVD
WILLIAMSPORT PA 17701

Officer/Director/Trustee Four

EUGENE CICCARELLI
TRUSTEE
527 HILL STREET
SOUTH WILLIAMSPORT PA 17702

Officer/Director/Trustee Five

CHARLENE PULIZZI
TRUSTEE
621 SYLVAN DELL PARK ROAD
SOUTH WILLIAMSPORT PA 17702

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/1993
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 Yes
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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