FORM 1023-EZ for NORTHERN PANHANDLE DISC GOLF ASSOCIATION

Field Data
EIN 82-2277849
Case Number EO-2017291-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN PANHANDLE DISC GOLF ASSOCIATION
Organization’s Mailing Address 4224 MCADOO RIDGE RD
City WELLSBURG
State WV
ZIP 26070
Accounting period End 12
Primary contact name KIMBERLY FANASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA FENDER
PRESIDENT
4224 MCADOO RIDGE RD
WELLSBURG WV 26070

Officer/Director/Trustee Two

KIMBERLY FANASE
SECRETARY/TREASURER
4224 MCADOO RIDGE RD
WELLSBURG WV 26070

Officer/Director/Trustee Three

SIR BOSTON
VICE PRESIDENT
P O BOX 244
STEUBENVILLE OH 43952

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2017
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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
Signature Title
Signature Date

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