FORM 1023-EZ for JOHNSBURGS JR OUTDOOR CLUB INC

Field Data
EIN 81-4208158
Case Number EO-2018280-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHNSBURGS JR OUTDOOR CLUB INC
Organization’s Mailing Address 500 HUDSON ST
City JOHNSBURG
State NY
ZIP 12843
Accounting period End 12
Primary contact name ERIKA PATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIKA PATTON
PRESIDENT
500 HUDSON ST
JOHNSBURG NY 12843-1711

Officer/Director/Trustee Two

MICHAEL SHARP
VICE PRESIDENT
720 HARRINGTON RD
WEVERTOWN NY 12886

Officer/Director/Trustee Three

BEN GADWAY
SECOND VICE PRESIDENT
380 OVEN MOUNTAIN RD
JOHNSBURG NY 12843

Officer/Director/Trustee Four

DEANNA SHARP
TREASURER
720 HARRINGTON RD
WEVERTOWN NY 12843

Organization’s website
Organization’s email EPATTON516@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 ERIKA PATTON
Signature Title PRESIDENT
Signature Date 10/3/18

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