FORM 1023-EZ for GREATER HAZLETON STREET HOCKEY LEAGUE

Field Data
EIN 87-1867147
Case Number EO-2021210-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREATER HAZLETON STREET HOCKEY LEAGUE
Organization’s Mailing Address 751 N CHURCH ST
City HAZLETON
State PA
ZIP 18201
Accounting period End 12
Primary contact name ROBERT MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID KECK
PRESIDENT
751 N CHURCH ST
HAZLETON PA 18201

Officer/Director/Trustee Two

DANIEL FOX JR
VICE PRESIDENT
751 N CHURCH ST
HAZLETON PA 18201

Officer/Director/Trustee Three

KATRINA NELMES
SECRETARY
751 N CHURCH ST
HAZLETON PA 18201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2004
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 DAVID KECK
Signature Title PRESIDENT
Signature Date 7/27/2021

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