FORM 1023-EZ for NORTHUMBERLAND COUNTY FAIR

Field Data
EIN 26-4036159
Case Number EO-2015289-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHUMBERLAND COUNTY FAIR
Organization’s Mailing Address 3920 STATE RTE 890
City SUNBURY
State PA
ZIP 17801
Accounting period End 12
Primary contact name JAMES TEMPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW READER
PRESIDENT
1670 BRUSH VALLEY RD
SUNBURY PA 17801

Officer/Director/Trustee Two

JEFF BANEY
VICE PRESIDENT
2475 CAPT BLOOM RD
SUNBURY PA 17801

Officer/Director/Trustee Three

JAMES TEMPLE
TREASURER
306 FERSTER HILL RD
SUNBURY PA 17801

Officer/Director/Trustee Four

JANE REBUCK
SECRETARY
375 FOY RD
SUNBURY PA 17801

Organization’s website NORTHUNBERLANDCOUNTYFAIR.COM
Organization’s email SUNBURYVET@AOL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2009
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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