FORM 1023-EZ for KEYSTONE REBELS

Field Data
EIN 47-5451759
Case Number EO-2015310-000053
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEYSTONE REBELS
Organization’s Mailing Address 523 GERMAN RD
City LOCK HAVEN
State PA
ZIP 17745
Accounting period End 12
Primary contact name BETHANY PROBST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TROY PROBST
PRESIDENT
523 GERMAN RD
LOCK HAVEN PA 17745

Officer/Director/Trustee Two

FRANK BENDIK
VICE PRESIDENT
27 EAST BRANCH ROAD PO BOX 87
BEECH CREEK PA 16822

Officer/Director/Trustee Three

BETHANY PROBST
TREASURER
523 GERMAN RD
LOCK HAVEN PA 17745

Officer/Director/Trustee Four

HOLLY THOMPSON
SECRETARY
1268 SUGAR RUN RD
MILL HALL PA 17751

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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