FORM 1023-EZ for PYMATUNING LAKE ASSOCIATION

Field Data
EIN 83-3512781
Case Number EO-2019050-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PYMATUNING LAKE ASSOCIATION
Organization’s Mailing Address PO BOX 78
City WESTFORD
State PA
ZIP 16134
Accounting period End 12
Primary contact name BRANDI SNYDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEWEY FORSYTHE
PRESIDENT
1512 STATE HWY 285
ESPYVILLE PA 16134

Officer/Director/Trustee Two

DAVE SLOZAT
VICE PRESIDENT
9298 SOUTH LAKE RD
ESPYVILLE PA 16424

Officer/Director/Trustee Three

CHUCK LEDERER
TREASURER
7664 SOUTH LAKE RD
ESPYVILLE PA 16134

Officer/Director/Trustee Four

BRANDI SNYDER
SECRETARY
7147 HARMONSBURG RD
LINESVILLE PA 16424

Organization’s website PYMATUNINGLAKE.COM
Organization’s email PLA1945.PA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 BRANDI SNYDER
Signature Title SECRETARY
Signature Date 2/15/19

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