FORM 1023-EZ for MOUNTAIN CREEK TROUT CLUB

Field Data
EIN 85-1161125
Case Number EO-2020307-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN CREEK TROUT CLUB
Organization’s Mailing Address 59 BOYDS SCHOOLHOUSE RD
City BIGLERVILLE
State PA
ZIP 17307
Accounting period End 12
Primary contact name MARK STAHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK STAHL
PRESIDENT
59 BOYDS SCHOOLHOUSE RD
BIGLERVILLE PA 17307

Officer/Director/Trustee Two

SCOTT SAMPSON
VICE PRESIDENT
400 HIGH MOUNTAIN RD
SHIPPENSBURG PA 17257

Officer/Director/Trustee Three

ELIZABETH SHAPIRO
SECRETARY
209 HILL ST
MT.HOLLY SPRINGS PA 17065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D33 - Fisheries Resources
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 MARK STAHL
Signature Title PRESIDENT
Signature Date 10/29/2020

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