FORM 1023-EZ for DUSTINS ADVENTURELAND

Field Data
EIN 84-4281724
Case Number EO-2020063-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DUSTINS ADVENTURELAND
Organization’s Mailing Address 12 EAST SAVORY STREET
City POTTSVILLE
State PA
ZIP 17901
Accounting period End 12
Primary contact name JEFFREY DUNKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES WOMER
PRESIDENT
12 E SAVORY ST
POTTSVILLE PA 17901

Officer/Director/Trustee Two

JEFFREY DUNKEL
VICE PRESIDENT
12 E SAVORY ST
POTTSVILLE PA 17901

Officer/Director/Trustee Three

TERRI MICHELS
SECRETARY
12 E SAVORY ST
POTTSVILLE PA 17901

Officer/Director/Trustee Four

AMY FREED
FINANCE
12 E SAVORY ST
POTTSVILLE PA 17901

Officer/Director/Trustee Five

JOSPEH FERRARO
FINANCE
12 E SAVORY ST
POTTSVILLE PA 17901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 JEFFREY DUNKEL
Signature Title VICE PRESIDENT
Signature Date 2/28/2020

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