FORM 1023-EZ for TWIN TIERS DISC GOLF ASSOCIATION

Field Data
EIN 85-4265888
Case Number EO-2021099-000429
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWIN TIERS DISC GOLF ASSOCIATION
Organization’s Mailing Address 31 BON AIRE RD UNIT B
City DERRICK CITY
State PA
ZIP 16727
Accounting period End 12
Primary contact name RICH LONGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD LONGER
PRESIDENT/DIRECTOR
31 BON AIRE RD UNIT B
DERRICK CITY PA 16727

Officer/Director/Trustee Two

MIKE CULLITON
TREASURER/DIRECTOR
167 STOWE STREET
JAMESTOWN NY 14701

Officer/Director/Trustee Three

JIM HINES
SECRETARY/DIRECTOR
5 LOWELL AVE
BRADFORD PA 16701

Officer/Director/Trustee Four

KEVIN BIGHAM
DIRECTOR, COMMUNICATIONS
1616 ROGERS RD
FRANKLINVILLE NY 14737

Officer/Director/Trustee Five

DARRELL KLUTE
DIRECTOR, MEMBERSHIP
712 WASHINGTON ST
OLEAN NY 14760

Organization’s website WWW.TWINTIERSDISCGOLF.ORG
Organization’s email TWINTIERSDISCGOLF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
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: 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 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 RICHARD LONGER
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/19/2021

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