FORM 1023-EZ for KINZUA CLASSIC MEMORIAL POOL TOURNAMENT

Field Data
EIN 47-2064383
Case Number EO-2017278-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINZUA CLASSIC MEMORIAL POOL TOURNAMENT
Organization’s Mailing Address 4 HAZELTINE ST AND PO BOX 686
City WARREN
State PA
ZIP 16365
Accounting period End 3
Primary contact name JULIE FIRST-WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELENA THOMPSON
CO-DIRECTOR
23021 BLYSTONE
VENANGO PA 16365

Officer/Director/Trustee Two

JULIE FIRST-WILLIAMS
CO-DIRECTOR CFO
4 HAZELTINE ST
WARREN PA 16365-2755

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - 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 Yes
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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