FORM 1023-EZ for BERMUDIAN SPRINGS YOUTH ATHLETIC ASSOCIATION
| Field | Data |
|---|---|
| EIN | 87-2309961 |
| Case Number | EO-2021256-000563 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BERMUDIAN SPRINGS YOUTH ATHLETIC ASSOCIATION |
| Organization’s Mailing Address | PO BOX 462 |
| City | EAST BERLIN |
| State | PA |
| ZIP | 17316 |
| Accounting period End | 12 |
| Primary contact name | COURTNEY CONRAD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
COURTNEY CONRAD
PRESIDENT
555 LAKE MEADE DR
EAST BERLIN PA 17316
Officer/Director/Trustee Two
DEREK BECKENBAUGH
VICE PRESIDENT
14 SHERMAN DRIVE
EAST BERLIN PA 17316
Officer/Director/Trustee Three
ANDREA RIVERA
TREASURER
102 E LYNN DR
EAST BERLIN PA 17316
Officer/Director/Trustee Four
ASHLEY FRANTZ
SECRETARY
82 SCHOFIELD DR
EAST BERLIN PA 17316
| Organization’s website | WWW.BSYAAEAGLES.COM |
|---|---|
| Organization’s email | BERMUDIANYOUTHFOOTBALL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/4/2021 |
| 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: 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 | Yes |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | COURTNEY CONRAD |
| Signature Title | PRESIDENT |
| Signature Date | 9/10/2021 |
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