FORM 1023-EZ for CLEARFIELD AQUATIC CLUB

Field Data
EIN 47-4739842
Case Number EO-2015231-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEARFIELD AQUATIC CLUB
Organization’s Mailing Address 320 PARK AVENUE
City CLEARFIELD
State PA
ZIP 16830-2112
Accounting period End 6
Primary contact name KRISTEN HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS HOFFMAN
PRESIDENT
320 PARK AVENUE
CLEARFIELD PA 16830-2112

Officer/Director/Trustee Two

MICHELE HAMMERSLA-QUICK
VICE PRESIDENT
320 PARK AVENUE
CLEARFIELD PA 16830-2112

Officer/Director/Trustee Three

KRISTEN HOFFMAN
SECRETARY
320 PARK AVENUE
CLEARFIELD PA 16830-2112

Officer/Director/Trustee Four

JENNIFER LESKOVANSKY
TREASURER
320 PARK AVENUE
CLEARFIELD PA 16830-2112

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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 No
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
Signature Title
Signature Date

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