FORM 1023-EZ for LANCER GOLD & WHITE CLUB

Field Data
EIN 83-4693391
Case Number EO-2020181-000630
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LANCER GOLD & WHITE CLUB
Organization’s Mailing Address 511 HILLCREST AVENUE
City GLENSIDE
State PA
ZIP 19038
Accounting period End 12
Primary contact name DAVID MELCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MELCHER
PRESIDENT
511 HILLCREST AVENUE
GLENSIDE PA 19038

Officer/Director/Trustee Two

MATT DOUGHERTY
TREASURER
337 HAMEL AVENUE
GLENSIDE PA 19038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: No
Religious: Yes
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 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 DAVID MELCHER
Signature Title PRESIDENT
Signature Date 6/26/2020

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