FORM 1023-EZ for PEAK ACADEMY FOR COMMUNITY LEARNING

Field Data
EIN 82-1604999
Case Number EO-2018337-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEAK ACADEMY FOR COMMUNITY LEARNING
Organization’s Mailing Address PO BOX 795
City TANNERSVILLE
State PA
ZIP 18372
Accounting period End 5
Primary contact name KIERAN ADAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIERAN ADAIR
PRESIDENT
3120 MOHAWK TRAIL
TOBYHANNA PA 18466-7868

Officer/Director/Trustee Two

ELIZABETH CLARK
TREASURER
1790 TWIN PINE ROAD
STROUDSBURG PA 18360-7634

Officer/Director/Trustee Three

CARRIE WEITZ
SECRETARY
263 COLONIAL TERRACE
ALBRIGHTSVILLE PA 18210-7730

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 KIERAN ADAIR
Signature Title PRESIDENT
Signature Date 11/29/18

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