FORM 1023-EZ for BLAKESLEE COMMUNITY ASSOCIATION

Field Data
EIN 81-1909017
Case Number EO-2019038-000602
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAKESLEE COMMUNITY ASSOCIATION
Organization’s Mailing Address PO BOX 466
City BLAKESLEE
State PA
ZIP 18610-466
Accounting period End 12
Primary contact name TAMMY LIVZIEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY LIVZIEY
PRESIDENT
PO BOX 345
BLAKESLEE PA 18610-345

Officer/Director/Trustee Two

MELISSA GUENST
VICE PRESIDENT
130 CLEARVIEW ROAD
LONG POND PA 18334

Officer/Director/Trustee Three

PAULA WHITE
SECRETARY/TREASURER
PO BOX 26
POCONO PINES PA 18350-26

Officer/Director/Trustee Four

CHRISTINA MATIRKO
DIRECTOR
PO BOX 72
BLAKESLEE PA 18610-72

Officer/Director/Trustee Five

LORRAINE ZOLNER
DIRECTOR
PO BOX 948
BLAKESLEE PA 18610-948

Organization’s website BLAKESLEECOMMUNITYCENTER@TRIPOD.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/23
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 TAMMY LIVZIEY
Signature Title PRESIDENT
Signature Date 1/31/19

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