FORM 1023-EZ for MASON-DIXON WARRIOR ADVENTURES CORPORATION

Field Data
EIN 82-1925487
Case Number EO-2018135-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASON-DIXON WARRIOR ADVENTURES CORPORATION
Organization’s Mailing Address 261 THORNTON DRIVE
City MCCONNELLSBURG
State PA
ZIP 17233
Accounting period End 12
Primary contact name DARVEL STUTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARVEL STUTZ
PRESIDENT
3849 FARMSTEAD DRIVE
FAYETTEVILLE PA 17222

Officer/Director/Trustee Two

WILLIAM ZEGER
VICE PRESIDENT
5313 CHARLESTOWN RD
MERCERSBURG PA 17236

Officer/Director/Trustee Three

KENNETH SHREVE
SECRETARY
3123 PEACH ORCHARD ROAD
MCCONNELLSBURG PA 17233

Officer/Director/Trustee Four

FRED WAITE
TREASURER
261 THORNTON DRIVE
MCCONNELLSBURG PA 17233

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 DARVEL STUTZ
Signature Title PRESIDENT
Signature Date 5/10/18

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