FORM 1023-EZ for UPPER DAUPHIN RECREATION ASSOCIATION

Field Data
EIN 45-1140606
Case Number EO-2016027-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UPPER DAUPHIN RECREATION ASSOCIATION
Organization’s Mailing Address 147 BELLE DRIVE
City ELIZABETHVILLE
State PA
ZIP 17023
Accounting period End 12
Primary contact name TRACY L SCHREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACY SCHREY
PRESIDENT
147 BELLE DRIVE
ELIZABETHVILLE PA 17023

Officer/Director/Trustee Two

PATTI DONNELL
VICE PRESIDENT TREASURER
55 CALLOHILL STREET
ELIZABETHVILLE PA 17023

Officer/Director/Trustee Three

BRIAN PAUL
VICE PRESIDENT
264 JAMES ROAD
MILLERSBURG PA 17061

Officer/Director/Trustee Four

JOHN LEBO
VICE PRESIDENT
700 MOUNTAIN STREET
LYKENS PA 17048

Officer/Director/Trustee Five

TERESA HUGHES
VICE PRESIDENT SECRETARY
700 MOUNTAIN STREET
LYKENS PA 17048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2011
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 Yes
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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