FORM 1023-EZ for LANDISVILLE CAMPING INC AKA CHIQUES SCOUT CAMP

Field Data
EIN 23-7310902
Case Number EO-2017153-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANDISVILLE CAMPING INC AKA CHIQUES SCOUT CAMP
Organization’s Mailing Address 4 EAST BRANDT BLVD
City LANDISVILLE
State PA
ZIP 17538
Accounting period End 12
Primary contact name JACK L HESS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY V SMITH
DIRECTOR- TREAS
4 EAST BRANDT BLVD
LANDISVILLE PA 17538

Officer/Director/Trustee Two

JACK L HESS CPA
DIRECTOR ASST TREAS
1036 HUNT CLUB LANE
LANCASTER PA 17601

Officer/Director/Trustee Three

JOHN BURKHART
DIRECTOR SECRETARY
517 UNION SCHOOL RD
MOUNT JOY PA 17552

Officer/Director/Trustee Four

RICHARD ROHRER
DIRECTOR
6 DONEGAL PL
MARIETTA PA 17547

Officer/Director/Trustee Five

RON COOPER
DIRECTOR
1154 W MAIN ST
SALUNGA PA 17538

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/1973
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O40 - Scouting Organizations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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