FORM 1023-EZ for MIDDLETOWN TRACK FIELD AND CROSS COUNTRY BOOSTER CLUB

Field Data
EIN 81-2127351
Case Number EO-2016263-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDDLETOWN TRACK FIELD AND CROSS COUNTRY BOOSTER CLUB
Organization’s Mailing Address 1064 PENNSYLVANIA AV
City HARRISBURG
State PA
ZIP 17111
Accounting period End 12
Primary contact name JAMES TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI ULRICH
PRESIDENT
1313 SPRING HOUSE RD
MIDDLETOWN PA 17057

Officer/Director/Trustee Two

JULIE LOMBARDI
SECRETARY
1021 WOODRIDGE DR
MIDDLETOWN PA 17057

Officer/Director/Trustee Three

KIM KENNEDY
TREASURER
1064 PENNSYLVANIA AV
HARRISBURG PA 17111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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