FORM 1023-EZ for BLOOMSBURG TRAPPERS SOCCER CLUB

Field Data
EIN 47-2739615
Case Number EO-2019044-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOMSBURG TRAPPERS SOCCER CLUB
Organization’s Mailing Address 14 BOND LANE
City BLOOMSBURG
State PA
ZIP 17815
Accounting period End 12
Primary contact name MARK FLAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK FLAUGH
TREASURER
14 BOND LANE
BLOOMSBURG PA 17815

Officer/Director/Trustee Two

PATRICK BARRY
PRESIDENT
120 NOTTINGHAM LANE
BLOOMSBURG PA 17815

Officer/Director/Trustee Three

KARA HAWRELAK
REGISTRAR
29 SHAWNEE RD
BLOOMBURG PA 17815

Officer/Director/Trustee Four

ERIN SORG
SECRETARY
1 CHANDLER DRIVE
ORANGEVILLE PA 17859

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK FLAUGH
Signature Title TREASURER
Signature Date 2/9/19

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