FORM 1023-EZ for BLUE MOUNTAIN TRACK BOOSTERS

Field Data
EIN 36-4865500
Case Number EO-2017123-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE MOUNTAIN TRACK BOOSTERS
Organization’s Mailing Address 1076 WEST MARKET STREET
City SCHUYLKILL HAVEN
State PA
ZIP 17972
Accounting period End 12
Primary contact name JENNIFER DOLBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE MILLER
PRESIDENT
586 INDIAN DRIVE
AUBURN PA 17922

Officer/Director/Trustee Two

DEBORAH BOLINSKY
SECRETARY
71 SPEHRLEY LANE
NEW RINGGOLD PA 17960

Officer/Director/Trustee Three

JENNIFER DOLBIN
TREASURER
48 RED MOUNTAIN LANE
NEW RINGGOLD PA 17960

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
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: No
Religious: No
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 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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