FORM 1023-EZ for CHESTNUT RIDGE COMMUNITY CLUB CENTER

Field Data
EIN 80-0120575
Case Number EO-2015036-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHESTNUT RIDGE COMMUNITY CLUB CENTER
Organization’s Mailing Address 1574 ROUTE 259
City LIGONIER
State PA
ZIP 15658
Accounting period End 12
Primary contact name LISA ALTIMUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA MATSON
PRESIDENT
354 KNUPP RD
BOLIVAR PA 15923

Officer/Director/Trustee Two

MICHAEL PAYNE
VICE PRESIDENT
131 CHELLSEA WOOD LANE
LIGONIER PA 15658

Officer/Director/Trustee Three

LISA ALTIMUS
TREASURER
287 HARTMAN RD
LIGONIER PA 15658

Officer/Director/Trustee Four

CHRISTA GRAHAM
SECRETARY
1659 ROUTE 259
BOLIVAR PA 15923

Organization’s website NA
Organization’s email LAALTIMUS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/1948
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: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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