| Field | Data |
|---|---|
| EIN | 46-1828247 |
| Case Number | EO-2017054-000479 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ENCHANTED MOUNTAIN ROLLER DERBY |
| Organization’s Mailing Address | PO BOX 813 |
| City | PORTVILLE |
| State | NY |
| ZIP | 14770 |
| Accounting period End | 12 |
| Primary contact name | EDITH DALLENBACH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KATHRYN PROZELLER
CHAIR
9559 NOUVOO RD
PORTVILLE NY 14770
KAREN LINGATON
VICE PRESIDENT
5610 LEONARD RD
LIMESTONE NY 14753
LYNETTE CASE
TREASURER
600 PATTON DR
LIMESTONE NY 14753
MARINA BRYANT
SECRETARY
197 WEST AVE
SALAMANCA NY 14779
EDITH DALLENBACH
LIASON
314 NORTH 5TH ST
OLEAN NY 14760
| Organization’s website | ENCHANTEDMOUNTAINROLLERDERBY@GMAIL.COM |
|---|---|
| Organization’s email | EMRDBOD@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/10/2010 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics N.E.C. |
| 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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