FORM 1023-EZ for HILL CITY CHURCH OF PITTSBURGH

Field Data
EIN 81-5261549
Case Number EO-2017044-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILL CITY CHURCH OF PITTSBURGH
Organization’s Mailing Address 218 OLD HICKORY RD
City ZELIENOPLE
State PA
ZIP 16063
Accounting period End 12
Primary contact name ZACHARY BLAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY BLAIR
CHAIRMAN
218 OLD HICKORY RD
ZELIENOPLE PA 16063

Officer/Director/Trustee Two

LAWRENCE BETTENCOURT
VICE CHAIRMAN
2090 ROUTE 68
ZELIENOPLE PA 16063

Officer/Director/Trustee Three

DOUGLAS SMITH
SECRETARY
655 VILLAGE GREEN BLVD
MARS PA 16046

Officer/Director/Trustee Four

BENJAMIN RATH
TREASURER
7447 ZIKA DEER WAY
FORT MEYERS FL 33966

Officer/Director/Trustee Five

DENNIS PATTYN
DIRECTOR
302 CANTERBURY DR
MOON TOWNSHIP PA 15108

Organization’s website N/A
Organization’s email ZACKJBLAIR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 No
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
Signature Title
Signature Date

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