FORM 1023-EZ for REBELLION FASTPITCH SOFTBALL

Field Data
EIN 81-1722155
Case Number EO-2016081-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REBELLION FASTPITCH SOFTBALL
Organization’s Mailing Address 191 WHITETAIL CIRCLE
City MILL HALL
State PA
ZIP 17751
Accounting period End 9
Primary contact name MACKENZIE EMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MACKENZIE EMEL
MANAGER/HEAD COACH
191 WHITETAIL CIRCLE
MILL HALL PA 17751

Officer/Director/Trustee Two

JAMIE JONES
COACH
311 FOWLER HOLLOW LANE
PORT MATILDA PA 16870

Officer/Director/Trustee Three

SHARON HINTEMEYER
STRENGTH CONDITIONING COACH
191 WHITETAIL CIRCLE
MILL HALL PA 17751

Officer/Director/Trustee Four

CHAD HENNING
COACH
503 HUGHES STREET
BELLEFONTE PA 16823

Organization’s website
Organization’s email REBELLIONFASTPITCHSOFTBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2016
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: Yes
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 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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