FORM 1023-EZ for ERIE ICE

Field Data
EIN 82-0834961
Case Number EO-2018085-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ERIE ICE
Organization’s Mailing Address 41 W HIGH ST
City UNION CITY
State PA
ZIP 16438
Accounting period End 12
Primary contact name JESSICA NUGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA NUGENT
PRESIDENT
41 W HIGH ST
UNION CITY PA 16438

Officer/Director/Trustee Two

NICOLE KRYSIAK
VICE PRESIDENT
2407 PARKER AVE
ERIE PA 16510

Officer/Director/Trustee Three

MATTHEW JOHNSTON
SECRETARY
13253 CLUTE RD
WATERFORD PA 16441

Officer/Director/Trustee Four

KRISTIN FISHER
TRESURER
847 BURKHART AVE
ERIE PA 16511

Officer/Director/Trustee Five

NICK FISHER
TRUSTEE
847 BURKHART AVE
ERIE PA 16511

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 MATTHEW JOHNSTON
Signature Title SECRETARY
Signature Date 3/21/18

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