FORM 1023-EZ for ENVIRONEERS

Field Data
EIN 45-1483730
Case Number EO-2015146-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENVIRONEERS
Organization’s Mailing Address 96 THORNAPPLE LANE
City MANSFIELD
State PA
ZIP 16933-9566
Accounting period End 12
Primary contact name PAUL OTRUBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICTOR OTRUBA
PRESIDENT/BOARD TRUSTEE
96 THORNAPPLE LANE
MANSFIELD PA 16933-9566

Officer/Director/Trustee Two

PAUL OTRUBA
TREASURER/BOARD TRUSTEE
96 THORNAPPLE LANE
MANSFIELD PA 16933-9566

Officer/Director/Trustee Three

WILLIAM BENNETT
BOARD TRUSTEE
1465 CATLIN HOLLOW RD
WELLSBORO PA 16901-8436

Officer/Director/Trustee Four

HOWARD CARLSON
VICE PRESIDENT/BOARD TRUSTEE
136 ST JAMES STREET
MANSFIELD PA 16933-9566

Officer/Director/Trustee Five

KARYL OTRUBA
BOARD TRUSTEE
96 THORNAPPLE LANE
MANSFIELD PA 16933-9566

Organization’s website WWW.ENVIRONEERS.NET
Organization’s email OTRUBAP@MOUNTIES.MANSFIELD.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2011
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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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