FORM 1023-EZ for CONNELLSVILLE CLAY TARGET TEAM

Field Data
EIN 84-1974208
Case Number EO-2019203-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONNELLSVILLE CLAY TARGET TEAM
Organization’s Mailing Address 310 CRAMER AVENUE
City SOUTH CONNELLSVILLE
State PA
ZIP 15425
Accounting period End 12
Primary contact name JEFF CONKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH BROOKS
CHAIRMAN
135 SNYDER STREET
CONNELLSVILLE PA 15425

Officer/Director/Trustee Two

PAUL MEANS
FIRST VICE CHAIR
149 CARRINGTON DRIVE
CONNELLSVILLE PA 15425

Officer/Director/Trustee Three

JEFFREY CONKO
DIRECTOR
310 CRAMER STREET
SOUTH CONNELLSVILLE PA 15425

Officer/Director/Trustee Four

CHERIE ROUTZEN
TREASURER
734 NORTH BELLVIEW ROAD
CONNELLSVILLE PA 15425

Officer/Director/Trustee Five

LESLIE WILTROUT
SECRETARY
218 WILTROUT HOLLOW ROAD
WHITE PA 15490

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 JEFFREY CONKO
Signature Title DIRECTOR
Signature Date 7/18/19

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