FORM 1023-EZ for BREWERY HOLLOW OUTSIDERS INC

Field Data
EIN 47-2085807
Case Number EO-2016172-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREWERY HOLLOW OUTSIDERS INC
Organization’s Mailing Address 298 BREWERY HOLLOW ROAD
City LOCK HAVEN
State PA
ZIP 17745-8191
Accounting period End 12
Primary contact name FRANK KILLINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIM MOORE
PRESIDENT
921 BELLEFONTE AVENUE
LOCK HAVEN PA 17745-2708

Officer/Director/Trustee Two

MATTHEW LITTLE
VICE-PRESIDENT
462 SOUTH JONES STREET
LOCK HAVEN PA 17745-2943

Officer/Director/Trustee Three

KENNY BITNER
TREASURER
85 CATHERINE AVENUE
BEECH CREEK PA 16822-6905

Officer/Director/Trustee Four

FRANK KILLINGER
SECRETARY
200 FREDERICK STREET
LOCK HAVEN PA 17745

Officer/Director/Trustee Five

MERV PETERS
BOARD MEMBER
8 BREWERY HOLLOW ROAD
LOCK HAVEN PA 17745

Organization’s website N/A
Organization’s email BREWERYHOLLOWMC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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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