FORM 1023-EZ for LOYALSOCK BOOSTER CLUB

Field Data
EIN 30-0847685
Case Number EO-2018087-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOYALSOCK BOOSTER CLUB
Organization’s Mailing Address 1801 LOYALSOCK DRIVE
City WILLIAMSPORT
State PA
ZIP 17701
Accounting period End 6
Primary contact name WAYNE SHEPPARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS THALER
PRESIDENT
1830 FOUR MILE DRIVE
MONTOURSVILLE PA 17754

Officer/Director/Trustee Two

JULIA FRENCH
VICE PRESIDENT
729 PENNSYLVANIA AVENUE
WILLIAMSPORT PA 17701

Officer/Director/Trustee Three

ROSE CZAP
SECRETARY
1218 HILLSDALE DRIVE
WILLIAMSPORT PA 17701

Officer/Director/Trustee Four

WAYNE SHEPPARD
TREASURER
2508 EAST HILLS DRIVE
WILLIAMSPORT PA 17701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/14
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WAYNE SHEPPARD
Signature Title TREASURER
Signature Date 3/26/18
EIN 30-0847685
Case Number EO-2015040-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOYALSOCK BOOSTER CLUB
Organization’s Mailing Address 1801 LOYASOCK DRIVE
City WILLIAMSPORT
State PA
ZIP 17701
Accounting period End 6
Primary contact name CURTIS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CURTIS JOHNSON
PRESIDENT
1939 SUMMIT COURT
MONTOURSVILLE PA 17754

Officer/Director/Trustee Two

BENJAMIN COMFORT III
TREASURER
324 BEECH STREET
SOUTH WILLIAMSPORT PA 17702

Officer/Director/Trustee Three

TOM THALER
VICE PRESIDENT
1830 FOUR MILE DRIVE
MONTOURSVILLE PA 17754

Officer/Director/Trustee Four

KIM WOMELDORF
SECRETARY
17 WOODSIDE DRIVE
MONTOURSVILLE PA 17754

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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