FORM 1023-EZ for HENDERSON ICE HOCKEY CLUB INC

Field Data
EIN 23-2840166
Case Number EO-2014232-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HENDERSON ICE HOCKEY CLUB INC
Organization’s Mailing Address PO BOX 842
City WEST CHESTER
State PA
ZIP 19381
Accounting period End 5
Primary contact name SCOTT LEHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROB MOSES
PRESIDENT
314 TWIN POND DRIVE
WEST CHESTER PA 19382

Officer/Director/Trustee Two

ELIZABETH COTTLE
VICE PRESIDENT
54 CHANDLEE DRIVE
WEST CHESTER, PA 193 PA 19382

Officer/Director/Trustee Three

SCOTT LEHMAN
TREASURER
938 WEST MINER STREET
WEST CHESTER, PA 193 PA 19382

Officer/Director/Trustee Four

URSULA BEREN
REGISTRAR
288 MACKENZIE DR
WEST CHESTER, PA 193 PA 19380

Officer/Director/Trustee Five

DAN SCOBELL
SECRETARY
1303 FARREN LANE
WEST CHESTER, PA 193 PA 19380

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/1995
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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