FORM 1023-EZ for CLUB ODAT

Field Data
EIN 36-4836704
Case Number EO-2016190-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLUB ODAT
Organization’s Mailing Address 398 YORK ST - SUITE 3
City HANOVER
State PA
ZIP 17331
Accounting period End 12
Primary contact name EDWARD S KNOCHEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD S KNOCHEL
PRESIDENT
360 JASMINE DR
HANOVER PA 17331

Officer/Director/Trustee Two

CHARLES R SMITH
VICE PRESIDENT
PO BOX 478
EAST BERLIN PA 17331

Officer/Director/Trustee Three

DIANE SIMMERSON
SECRETARY
5218 ROCKERY RD
SPRING GROVE PA 17362

Officer/Director/Trustee Four

CHRISTOPHER H PARKER
TREASURER
37 SENECA DR
HANOVER PA 17331

Officer/Director/Trustee Five

GERALD F BRODE
TRUSTEE
231 WINIFRED DR
HANOVER PA 17331

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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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