FORM 1023-EZ for NPHS LAX CLUB

Field Data
EIN 46-1615549
Case Number EO-2015084-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NPHS LAX CLUB
Organization’s Mailing Address 502 SUNRISE BLVD
City MOSCOW
State PA
ZIP 18444
Accounting period End 12
Primary contact name ROBERT LAMANNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT LAMANNA
PRES
502 SUNRISE
MOSCOW PA 18444

Officer/Director/Trustee Two

ANDREW TRINOVITCH
VP/SEC
72 MEMORY LANE
SPRINGBROOK PA 18444

Officer/Director/Trustee Three

SUSAN KELLY
TREASURER
400 BLUEBERRY PL
MOSCOW PA 18444

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2012
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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