FORM 1023-EZ for SUSQUEHANNA RIVER RATS

Field Data
EIN 81-5324963
Case Number EO-2017052-000471
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSQUEHANNA RIVER RATS
Organization’s Mailing Address 1491 VIALL HILL RD
City WYALUSING
State PA
ZIP 18853
Accounting period End 12
Primary contact name NATALIE SALSMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK VANDERPOOL
PRESIDENT
2007 CORNELL RD
LACEYVILLE PA 18623

Officer/Director/Trustee Two

RHAEGAN HUGO
VICE PRESIDENT
172 STERLING HILL RD
WYALUSING PA 18853

Officer/Director/Trustee Three

DANIELLE CARR
TREASURER
1760 LOUIES RD
NEW ALBANY PA 18833

Officer/Director/Trustee Four

NATALIE SALSMAN
SECRETARY
1491 VIALL HILL RD
WYALUSING PA 18853

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2017
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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