FORM 1023-EZ for PANDORA GILBOA COMMUNITY RECREATIONINC

Field Data
EIN 34-1524262
Case Number EO-2019107-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANDORA GILBOA COMMUNITY RECREATIONINC
Organization’s Mailing Address PO BOX 99
City PANDORA
State OH
ZIP 45877
Accounting period End 12
Primary contact name ROB AMSTUTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB AMSTUTZ
PRESIDENT
3625 RD O
PANDORA OH 45877

Officer/Director/Trustee Two

RODNEY HERMILLER
TREASURER
8270 ROAD 3
LEIPSIC OH 45856

Officer/Director/Trustee Three

SHANNON HOVEST
SECRETARY
205 OHIO AVE
PANDORA OH 45877

Officer/Director/Trustee Four

JEFF CANNODE
VICE PRESIDENT
213 WEST MAIN
PANDORA OH 45877

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/86
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Correctness Declaration Yes
Signature Name ROB AMSTUTZ
Signature Title PRESIDENT
Signature Date 4/13/19

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