FORM 1023-EZ for COUDERSPORT HERITAGE

Field Data
EIN 85-3107710
Case Number EO-2020279-000026
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUDERSPORT HERITAGE
Organization’s Mailing Address 401 NORTH WEST ST
City COUDERSPORT
State PA
ZIP 16915
Accounting period End 12
Primary contact name JEFF BETZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AIDEN PEET
PRESIDENT
1157 S LELAND ST APT 3
SAN PEDRO CA 90731

Officer/Director/Trustee Two

LEE WISEL
VICE PRESIDENT
1157 S LELAND ST APT 3
SAN PEDRO CA 90731

Officer/Director/Trustee Three

JEFF BETZ
SECRETARY/TREASURER
5616 NE 5TH CT
RENTON WA 98059

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
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 JEFF BETZ
Signature Title SECRETARY/TREASURER
Signature Date 10/3/2020

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