FORM 1023-EZ for MOUNTAIN LAUREL COMMUNITY SUPPORT ORGANIZATION
| Field | Data |
|---|---|
| EIN | 47-2734891 |
| Case Number | EO-2015156-000112 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MOUNTAIN LAUREL COMMUNITY SUPPORT ORGANIZATION |
| Organization’s Mailing Address | 166 JONES MILLS STAHLSTOWN RD |
| City | JONES MILLS |
| State | PA |
| ZIP | 15646-1111 |
| Accounting period End | 6 |
| Primary contact name | MARTHA N HINEBAUGH - PRESIDENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MARTHA HINEBAUGH
PRESIDENT
166 JONES MILLS STAHLSTOWN RD
JONES MILLS PA 15646-1111
Officer/Director/Trustee Two
JAMES KAIL
VICE PRESIDENT
4157 MAIN STREET
STAHLSTOWN PA 15687-0168
Officer/Director/Trustee Three
BERNADETTE BARRON
TREASURER
150 NEBO RD
CHAMPION PA 15622-3006
Officer/Director/Trustee Four
PATRICIA SHEKELL
SECRETARY
4 WINTER WAY
CHAMPION PA 15622-2088
Officer/Director/Trustee Five
JERI LOWE
DIRECTOR
P O BOX 387
INDIAN HEAD PA 15446-0387
| Organization’s website | NA |
|---|---|
| Organization’s email | MNATHH@LHTOT.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2015 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: Yes 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 | 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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