FORM 1023-EZ for BLUE MOUNTAIN MIDGET FOOTBALL

Field Data
EIN 23-2820996
Case Number EO-2017258-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE MOUNTAIN MIDGET FOOTBALL
Organization’s Mailing Address PO BOX 96
City ORWIGSBURG
State PA
ZIP 17961
Accounting period End 12
Primary contact name KERRI SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE STRAUSE
PRESIDENT
91 RIVER RD
NEW RINGGOLD PA 17960

Officer/Director/Trustee Two

KERRI SMITH
TREASURER
363 SOUTH WAYNE ST
ORWIGSBURG PA 17961

Officer/Director/Trustee Three

NICOLE KREISER
VICE-PRESIDENT
363 S WAYNE ST
ORWIGSBURG PA 17961

Officer/Director/Trustee Four

AMANDA WENSEL
SECRETARY
300 LAUREL LANE
NEW RINGGOLD PA 17960

Officer/Director/Trustee Five

TROY DAUBERT
FIELD MANAGER
100 POLLACK DR
ORWIGSBURG PA 17961

Organization’s website HTTP://WWW.LEAGUELINEUP.COM/WELCOME.ASP?URL=BMMF
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/1964
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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 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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