FORM 1023-EZ for MOSHANNON VALLEY DIAMOND CLUB

Field Data
EIN 83-2126068
Case Number EO-2019039-000436
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSHANNON VALLEY DIAMOND CLUB
Organization’s Mailing Address 510 BRISBIN ST
City HOUTZDALE
State PA
ZIP 16651
Accounting period End 6
Primary contact name MELISA PEDMO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISA PEDMO
PRESIDENT
510 BRISBIN ST
HOUTZDALE PA 16651

Officer/Director/Trustee Two

ALICIA BUBB
VICE PRESIDENT
PO BOX 144
RAMEY PA 16671

Officer/Director/Trustee Three

SHANNON BEERS
TREASURER
37 CLINTON ST
MADERA PA 16661

Officer/Director/Trustee Four

HEATHER DOMANICK
SECRETARY
67 TEKELEY LANE
RAMEY PA 16671

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 MELISA PEDMO
Signature Title PRESIDENT
Signature Date 2/4/19

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