FORM 1023-EZ for FULTON COUNTY CAMP CADET ASSOCIATION

Field Data
EIN 25-1766913
Case Number EO-2015288-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FULTON COUNTY CAMP CADET ASSOCIATION
Organization’s Mailing Address P O BOX 474
City MCCONNELLSBURG
State PA
ZIP 17233
Accounting period End 12
Primary contact name HOLLY FALKOSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEN FALKOSKY
CHAIRPERSON
267 HEINBAUGH LANE
MCCONNELLSBURG PA 17233

Officer/Director/Trustee Two

RANDY CLEVER
VICE-CHAIR
4490 CITO ROAD
MCCONNELLSBURG PA 17233

Officer/Director/Trustee Three

BETH BRYANT
SECRETARY
1030 N BREEZEWOOD RD
BREEZEWOOD PA 15533

Officer/Director/Trustee Four

HOLLY FALKOSKY
TREASURER
267 HEINBAUGH LANE
MCCONNELLSBURG PA 17233

Officer/Director/Trustee Five

JIM LUPEY
BOARD MEMBER
1960 PUMP STATION ROAD
WATERFALL PA 16689

Organization’s website
Organization’s email FULTONCOUNTYCAMPCADET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/1994
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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