FORM 1023-EZ for GJBA

Field Data
EIN 46-3142733
Case Number EO-2014230-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GJBA
Organization’s Mailing Address PO BOX 299
City JAMISON
State PA
ZIP 18929-0299
Accounting period End 12
Primary contact name MARSHAL DAVIS ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL TAMBURINO
DIRECTOR PRESIDENT
2361 WINTERGREEN LANE
JAMISON PA 18929-1755

Officer/Director/Trustee Two

MICHAEL DAVIS
DIRECTOR TREASURER
PO BOX 299
JAMISON PA 18929-0299

Officer/Director/Trustee Three

DEBORAH GOETZ
DIRECTOR SECRETARY
1518 SPEARMINT CIRCLE
JAMISON PA 18929

Officer/Director/Trustee Four

MARSHAL DAVIS
DIRECTOR
PO BOX 364
JAMISON PA 18929-0364

Officer/Director/Trustee Five

ROBERT FITT
DIRECTOR
2285 VALLEY ROAD
JAMISON PA 18929-1006

Organization’s website WWW.GJBA.ORG
Organization’s email INFO@GJBA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2013
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 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 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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