FORM 1023-EZ for NH LAKES REGION PICKLEBALL CLUB

Field Data
EIN 83-1110821
Case Number EO-2018288-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NH LAKES REGION PICKLEBALL CLUB
Organization’s Mailing Address 2 CHIPMUNK LANE
City WOLFEBORO
State NH
ZIP 3894
Accounting period End 12
Primary contact name JOSEPH L SANTORO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH SANTORO
PRESIDENT
2 CHIPMUNK LANE
WOLFEBORO NH 3894

Officer/Director/Trustee Two

SUSAN NELSON
DIRECTOR
PO BOX 505
ALTON NH 3809

Officer/Director/Trustee Three

GEORGE VANDERHEIDEN
DIRECTOR
PO BOX 669
WOLFEBORO NH 3894

Officer/Director/Trustee Four

JOYCE LAKE
DIRECTOR
4 BLUE HERON CIRCLE
MIRROR LAKE NH 3853

Officer/Director/Trustee Five

JOHN DAFORNO
TREASURER
41 HARBOR WAY UNIT 12
WOLFEBORO NH 3894

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPH SANTORO
Signature Title PRESIDENT
Signature Date 10/11/18

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