FORM 1023-EZ for PUNXSY 1ST AND 10 CLUB

Field Data
EIN 82-5042118
Case Number EO-2018243-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUNXSY 1ST AND 10 CLUB
Organization’s Mailing Address 314 W MAHONING STREET PO BOX 574
City PUNXSUTAWNEY
State PA
ZIP 15767
Accounting period End 12
Primary contact name NICHOLAS GIANVITO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN ISHMAN
PRESIDENT
508 BEACON ROAD
PUNXSUTAWNEY PA 15767

Officer/Director/Trustee Two

KIM LONDON
VICE PRESIDENT
8550 ROUTE 536
PUNXSUTAWNEY PA 15767

Officer/Director/Trustee Three

MARCY GIANVITO
SECRETARY
105 CARMALT AVENUE
PUNXSUTAWNEY PA 15767

Officer/Director/Trustee Four

CARL MEDSGER
TREASURER
401 GREENWOOD AVENUE
PUNXSUTAWNEY PA 15767

Officer/Director/Trustee Five

ROBIN ISHMAN
DIRECTOR
714 SUMMIT ROAD
PUNXSUTAWNEY PA 15767

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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 MARCY GIANVITO
Signature Title SECRETARY
Signature Date 8/29/18

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