FORM 1023-EZ for PITTSBURGH BLIND HOCKEY INC

Field Data
EIN 84-3214490
Case Number EO-2019284-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PITTSBURGH BLIND HOCKEY INC
Organization’s Mailing Address 471 FRUITWOOD DRIVE
City BETHEL PARK
State PA
ZIP 15102
Accounting period End 8
Primary contact name TAMMY KITTERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY KITTERMAN
PRESIDENT
471 FRUITWOOD DRIVE
BETHEL PARK PA 15102

Officer/Director/Trustee Two

STACY LEMMON
SECRETARY
137 LIGHTCAP ROAD
LATROBE PA 15650

Officer/Director/Trustee Three

JESSICA MOON
TREASURER
272 ASPEN DRIVE
APOLLO PA 15613

Organization’s website
Organization’s email PITTSBURGHBLINDHOCKEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY KITTERMAN
Signature Title PRESIDENT
Signature Date 10/9/19

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