FORM 1023-EZ for SHARPSVILLE BLUE STORM

Field Data
EIN 83-2898374
Case Number EO-2019107-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHARPSVILLE BLUE STORM
Organization’s Mailing Address 3483 TAMARACK DRIVE
City SHARPSVILLE
State PA
ZIP 16150
Accounting period End 12
Primary contact name H WILLIAM WHITE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK PICCIRILLI
PRESIDENT
1377 HALL AVENUE
SHARON PA 16146

Officer/Director/Trustee Two

KRISTIN KIRILLA
SECRETARY
1900 ONEIDA LANE
SHARPSVILLE PA 16150

Officer/Director/Trustee Three

KEN RODGERS
VICE PRESIDENT
5386 TAMARACK DR
SHARPSVILLE PA 16150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 KRISTIN KIRILLA
Signature Title SECRETARY
Signature Date 4/15/19

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