FORM 1023-EZ for SMOKEY VALLEY SPORTMAN CLUB

Field Data
EIN 25-1821689
Case Number EO-2021025-000032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMOKEY VALLEY SPORTMAN CLUB
Organization’s Mailing Address PO BOX 372 226 SMOKEY LANE
City HASTINGS
State PA
ZIP 16646
Accounting period End 12
Primary contact name JODY GIBBONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODY GIBBONS
TREASURER
753 FERN ST
EMEIGH PA 15738

Officer/Director/Trustee Two

KEVIN CENCE
PRESIDENT
138 2ND AVENUE
HASTINGS PA 16646

Officer/Director/Trustee Three

JOHN MILLER
VICE PRESIDENT
965 OLD MILLER ROAD
HASTINGS PA 16646

Officer/Director/Trustee Four

WILLIAM MILLER
SECRETARY
108 CRAWFORD AVE
NORTHERN CAMBRIA PA 15714

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/1998
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: 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 Yes
Disaster relief assistance No
One Third Support Public No
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 JODY GIBBONS
Signature Title TREASURER
Signature Date 12/3/2020

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