FORM 1023-EZ for SOUTHERN FULTON ATHLETIC ASSOCIATION

Field Data
EIN 81-0985420
Case Number EO-2016327-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN FULTON ATHLETIC ASSOCIATION
Organization’s Mailing Address 3072 GREAT COVE ROAD
City WARFORDSBURG
State PA
ZIP 17267
Accounting period End 6
Primary contact name DEANNE BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNE BAKER
PRESIDENT
389 GTO DRIVE
NEEDMORE PA 17238

Officer/Director/Trustee Two

RAY MILLER
VICE PRESIDENT
454 EVERGREEN LANE
NEEDMORE PA 17238

Officer/Director/Trustee Three

TERI VARNER
TREASURER
654 JOHNSON ROAD
BIG COVE TANNERY PA 17212

Officer/Director/Trustee Four

DARLENE GORDON
SECRETARY
1339 EVERETS ROAD
BIG COVE TANNERY PA 17212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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
Signature Title
Signature Date

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