FORM 1023-EZ for SHADE GAP SPORTSMANS CLUB

Field Data
EIN 82-5454214
Case Number EO-2018141-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHADE GAP SPORTSMANS CLUB
Organization’s Mailing Address 21832 DEER RUN
City SHADE GAP
State PA
ZIP 17255-9286
Accounting period End 12
Primary contact name CHRISTOPHER PARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER PARSON
PRESIDENT
19243 BIMMER LANE
ORBISONIA PA 17243-4302

Officer/Director/Trustee Two

JASON WILSON
VICE PRESIDENT
19982 SHADE VALLEY ROAD
SHADE GAP PA 17255-8906

Officer/Director/Trustee Three

LYNELLE SEIBERT
SECRETARY
21832 DEER RUN
SHADE GAP PA 17255-9286

Officer/Director/Trustee Four

KEITH SPARR
TREASURER
20447 MCMULLEN ROAD
BLAIRS MILLS PA 17213-9418

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 LYNELLE SEIBERT
Signature Title SECRETARY
Signature Date 5/16/18

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