FORM 1023-EZ for MID VALLEY HIGH SCHOOL CHEERLEADERS

Field Data
EIN 81-3264704
Case Number EO-2016202-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID VALLEY HIGH SCHOOL CHEERLEADERS
Organization’s Mailing Address 915 BUSH STREET
City OLYPHANT
State PA
ZIP 18447
Accounting period End 7
Primary contact name LORI KILLINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI KILLINO
PRESIDENT
915 BUSH STREET
OLYPHANT PA 18447

Officer/Director/Trustee Two

MICHELE POLLACK
TREASURER
104 S ADAMS AVENUE
OLYPHANT PA 18447

Officer/Director/Trustee Three

KRYSTLE NOVAK
SECRETARY
104 ADAMS AVE
OLYPHANT PA 18447

Officer/Director/Trustee Four

DANA ABDA
VICE PRESIDENT
136 N ACORN HILL DRIVE
OLYPHANT PA 18447

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
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 Yes
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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