FORM 1023-EZ for ARCHERY ADDICTIONS SCHOOL PROGRAM

Field Data
EIN 27-3595611
Case Number EO-2015106-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARCHERY ADDICTIONS SCHOOL PROGRAM
Organization’s Mailing Address 1023 RIVERVIEW DRIVE
City WALNUTPORT
State PA
ZIP 18088
Accounting period End 12
Primary contact name LISA FOLAJTAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARTHUR T GILLESPIE III
OFFICER - COO
4780 LEHIGH DRIVE
WALNUTPORT PA 18088

Officer/Director/Trustee Two

LISA FOLAJTAR
DIRECTOR
499 S LEHIGH GAP ST
WALNUTPORT PA 18088

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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