FORM 1023-EZ for HEATH TOWNSHIP SPORTSMENS CLUB

Field Data
EIN 82-4720579
Case Number EO-2021076-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEATH TOWNSHIP SPORTSMENS CLUB
Organization’s Mailing Address 2414 PINE RUN ROAD
City SIGEL
State PA
ZIP 15860
Accounting period End 12
Primary contact name ANDREW J CYPHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM ATWOOD
DIRECTOR
108 STONE ROAD
KITTANNING PA 16201

Officer/Director/Trustee Two

MIKE STEPHENS
DIRECTOR
1174 ORR AVENUE
KITTANNING PA 16201

Officer/Director/Trustee Three

TOM LECUYER
DIRECTOR
148 BLUE RIDGE ROAD
CLARINGTON PA 16201

Officer/Director/Trustee Four

VIC MILKO
DIRECTOR
PO BOX 16
COOKSBURG PA 16217

Officer/Director/Trustee Five

JOSHUA OLINGER
DIRECTOR
311 GARFIELD ST
KITTANNING PA 16201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 TOM ATWOOD
Signature Title DIRECTOR
Signature Date 1/20/2021

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