FORM 1023-EZ for UNDEFEATED INC

Field Data
EIN 84-4218628
Case Number EO-2021158-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNDEFEATED INC
Organization’s Mailing Address 25206 RIDGE ROAD
City CAMBRIDGE SPRINGS
State PA
ZIP 16403
Accounting period End 5
Primary contact name LESEEN AUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLI LINEBERRY
PRESIDENT
25206 RIDGE ROAD
CAMBRIDGE SPRINGS PA 16403

Officer/Director/Trustee Two

JOSHUA SHAFFER
TREASURER
10403 WING ROAD
MEADVILLE PA 16335

Officer/Director/Trustee Three

RAY MARTINEZ
DIRECTOR
10392 HOLLIS ROAD
MEADVILLE PA 16335

Officer/Director/Trustee Four

MARTI MARTINEZ
SECRETARY
10392 HOLLIS ROAD
MEADVILLE PA 16335

Officer/Director/Trustee Five

GARY KELLNER
DIRECTOR
1204 MANSION WOODS
ANNAPOLIS MD 21401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 CARLI LINEBERRY
Signature Title PRESIDENT
Signature Date 6/3/2021

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