FORM 1023-EZ for PAWLING TIGERS ATHLETIC CLUB INC

Field Data
EIN 84-1780120
Case Number EO-2019178-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAWLING TIGERS ATHLETIC CLUB INC
Organization’s Mailing Address 69 LAKEVIEW DRIVE
City HOLMES
State NY
ZIP 12531
Accounting period End 6
Primary contact name PATRICK FITZGERALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA SHAY
DIRECTOR/PRESIDENT
20 MOUNTAIN VIEW ROAD
HOLMES NY 12531

Officer/Director/Trustee Two

MELISSA MANN
DIRECTOR/VICE PRESIDENT
36 QUAKER HILL ROAD
PAWLING NY 12564

Officer/Director/Trustee Three

TRACY MOORE
DIRECTOR/TREASURER
69 LAKEVIEW DRIVE
HOLMES NY 12531

Officer/Director/Trustee Four

CHRISTY BEKKELUND
DIRECTOR/SECRETARY
581 NORTH BIRCH HILL ROAD
OATTERSON NY 12563

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 TRACY MOORE
Signature Title DIRECTOR/TREASURER
Signature Date 6/25/19

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