FORM 1023-EZ for NORTHERN LEBANON YOUTH WRESTLING

Field Data
EIN 81-3911017
Case Number EO-2016280-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN LEBANON YOUTH WRESTLING
Organization’s Mailing Address PO BOX 550
City JONESTOWN
State PA
ZIP 17038
Accounting period End 12
Primary contact name KARI ANSPACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARI ANSPACH
BOOSTER CLUB PRESIDENT
422 CINDY DR
JONESTOWN PA 17038

Officer/Director/Trustee Two

SHARON HARTMAN
BOOSTER CLUB VICE PRESIDENT
27 KREIDER DR
JONESTOWN PA 17038

Officer/Director/Trustee Three

LYNDSEY GILL
BOOSTER CLUB SECRETARY
429 S LANCASTER ST
LEBANON PA 17046

Officer/Director/Trustee Four

SHANNON KLEISATH
BOOSTER CLUB TREASURER
1 OLDFIELD AVE
JONESTOWN PA 17038

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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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