FORM 1023-EZ for PARISHVILLE SPORTMENS CLUB INC

Field Data
EIN 82-5478997
Case Number EO-2018204-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARISHVILLE SPORTMENS CLUB INC
Organization’s Mailing Address PO BOX 559
City PARISHVILLE
State NY
ZIP 13672
Accounting period End 12
Primary contact name NATHAN WRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PHILLIPS
PRESIDENT
PO BOX 559
PARISHVILLE NY 13672-559

Officer/Director/Trustee Two

DON PHILIPS PHILLIPS
VICE PRESIDENT
PO BOX 559
PARISHVILLE NY 13672-559

Officer/Director/Trustee Three

ANGEL DEMO
SECRETARY
PO BOX 559
PARISHVILLE NY 13672-559

Officer/Director/Trustee Four

NATHAN WRAY
TREASURE
PO BOX 559
PARISHVILLE NY 13672-559

Officer/Director/Trustee Five

MIKE SWYERS
DIRECTOR
PO BOX 559
PARISHVILLE NY 13672-559

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/60
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
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 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 NATHAN WRAY
Signature Title TREASURE
Signature Date 7/19/18

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