FORM 1023-EZ for MUD DOG SAINTS

Field Data
EIN 82-4581868
Case Number EO-2018144-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUD DOG SAINTS
Organization’s Mailing Address 438 SOUTH STATE STREET
City MILLVILLE
State PA
ZIP 17846
Accounting period End 12
Primary contact name CARRIE SOBOLEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNY BARDO
PRESIDENT
438 SOUTH STATE STREET
MILLVILLE PA 17846

Officer/Director/Trustee Two

MARK BROBST
VICE PRESIDENT
239 LEGION RD
BLOOMSBURG PA 17815

Officer/Director/Trustee Three

RAY MYERS
TREASURER
282 ORCHARD DR
CATAWISSA PA 17820

Officer/Director/Trustee Four

ZELIA WHITMOYER
SECRETARY
2958 B STATE STREET
MILLVILLE PA 17846

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 KENNY BARDO
Signature Title PRESIDENT
Signature Date 5/22/18

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