FORM 1023-EZ for COCALICO ALTERNATIVE SPORT ASSOCIATION

Field Data
EIN 84-3552983
Case Number EO-2019318-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COCALICO ALTERNATIVE SPORT ASSOCIATION
Organization’s Mailing Address 39 KEELER AVE
City REAMSTOWN
State PA
ZIP 17567-117
Accounting period End 12
Primary contact name TARA KOHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW ARMENT
PRESIDENT
332 6TH STREET
DENVER PA 17517-1308

Officer/Director/Trustee Two

TARA ERKINGER
VICE PRESIDENT
39 KEELER AVE
STEVENS PA 17578-9360

Officer/Director/Trustee Three

SHERI GOLEMBIEWSKI
TREASURER
106 S ELM STREET
ROBESONIA PA 19551-1524

Officer/Director/Trustee Four

TARA KOHL
SECRETARY
385 LAUREL RIDGE ROAD
REINHOLDS PA 17569-9763

Officer/Director/Trustee Five

RICH GORDON
DIRECTOR
321 HEMLOCK LANE
NEW HOLLAND PA 17557-1216

Organization’s website HTTP://COCALICOALTERNATIVESPORTASSOC.COM
Organization’s email COCALICOALTERNATIVESPORTASSOC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
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 TARA KOHL
Signature Title SECRETARY
Signature Date 11/12/19

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