FORM 1023-EZ for FORBES ROAD HUNTING CLUB CHARITY

Field Data
EIN 84-3403213
Case Number EO-2020087-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORBES ROAD HUNTING CLUB CHARITY
Organization’s Mailing Address 1398 OLD FORBES ROAD
City STOYSTOWN
State PA
ZIP 15563
Accounting period End 12
Primary contact name BRIAN RIFFLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WADE FYOCK
PRESIDENT/ CHAIRMAN OF THE BOARD
1398 OLD FORBES ROAD
STOYSTOWN PA 15563

Officer/Director/Trustee Two

PAUL MANN
TREASURER
227 1/2 WALTERS AVENUE
JOHNSTOWN PA 15904

Officer/Director/Trustee Three

ROBERT SEMBOWER
VICE-PRESIDENT
603 WEST RACE STREET
SOMERSET PA 15501

Officer/Director/Trustee Four

JOSEPH LANDY
SECRETARY
108 OSAGE PATH
STOYSTOWN PA 15563

Officer/Director/Trustee Five

ROBERT MAYER
MEMBER AT LARGE
3294 COXES CREEK ROAD
SOMERSET PA 15501

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Disaster relief assistance No
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 No
Correctness Declaration Yes
Signature Name WADE FYOCK
Signature Title PRESIDENT/ CHAIRMAN OF THE BOARD
Signature Date 3/25/2020

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