FORM 1023-EZ for KANE QUARTERBACK CLUB

Field Data
EIN 45-4847567
Case Number EO-2014256-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KANE QUARTERBACK CLUB
Organization’s Mailing Address PO BOX 473
City KANE
State PA
ZIP 16735
Accounting period End 12
Primary contact name BRUCE KUMHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE KUHMER
PRESIDENT
16 BOYD STREET
MOUNT JEWETT PA 16740

Officer/Director/Trustee Two

LISA KIBBLIE
VICE PRESIDENT
PO BOX 473
KANE PA 16735

Officer/Director/Trustee Three

MELINDA OAKES
TREASURER
PO BOX 473
KANE PA 16735

Officer/Director/Trustee Four

CHRIS DETRICK
SECRETARY
PO BOX 473
KANE PA 16735

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2012
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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