FORM 1023-EZ for KEYSTONE ROLLER DERBY
| Field | Data |
|---|---|
| EIN | 82-1196673 |
| Case Number | EO-2017222-000581 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KEYSTONE ROLLER DERBY |
| Organization’s Mailing Address | 114 N 62ND ST |
| City | HARRISBURG |
| State | PA |
| ZIP | 17111-4389 |
| Accounting period End | 10 |
| Primary contact name | BRENDA Y STRAUSER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRENDA STRAUSER
PRESIDENT/GOVERNANCE CHAIR
114 N 62ND ST
HARRISBURG PA 17111-4389
Officer/Director/Trustee Two
LYDIA GOOD
VICE PRESIDENT/VP GOVERNANCE
3765 SHARON ST
HARRISBURG PA 17111-1949
Officer/Director/Trustee Three
BRENDA STRAUSER
TREASURER/FINANCE SECRETARY
114 N 62ND ST
HARRISBURG PA 17111-4389
| Organization’s website | HTTPS://WWW.KEYSTONEROLLERDERBY.COM/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/30/2017 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N70 - Amateur Sports Competitions |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: No Amateur Sports: Yes Cruelty Prevention: Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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