FORM 1023-EZ for VENANGO VIPERS FAST PITCH SOFTBALL

Field Data
EIN 81-3232644
Case Number EO-2016270-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VENANGO VIPERS FAST PITCH SOFTBALL
Organization’s Mailing Address 4068 STATE RTE 257
City OIL CITY
State PA
ZIP 16301
Accounting period End 12
Primary contact name HEIDI SILER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI SILER
PRESIDENT
4068 STATE RTE 257
OIL CITY PA 16301

Officer/Director/Trustee Two

CARRIE GAW
SECRETARY
344 CRESTVIEW DR
FRANKLIN PA 16323

Officer/Director/Trustee Three

KIRBY MONTGOMERY
PLAYER AGENT
146 ALLISON RD
SENECA PA 16346

Officer/Director/Trustee Four

CHRIS RUSSELL
VICE PRESIDENT
183 TOOLHOUSE RD
SENECA PA 16346

Officer/Director/Trustee Five

CYNTHIA MONG
TREASURER
248 SAWTOWN RD
OIL CITY PA 16301

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
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 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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