FORM 1023-EZ for DSP BARBELL CLUB

Field Data
EIN 85-0733893
Case Number EO-2021218-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DSP BARBELL CLUB
Organization’s Mailing Address 2125 14TH AVE
City ALTOONA
State PA
ZIP 16601
Accounting period End 12
Primary contact name JOHN DORMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN DORMAN
PRESIDENT
2125 14TH AVE
ALTOONA PA 16601

Officer/Director/Trustee Two

PAMELA DORMAN
BOARD ADVISOR
2125 14TH AVE
ALTOONA PA 16601

Officer/Director/Trustee Three

CHENOA RICE
BOARD ADVISOR
2125 14TH AVE
ALTOONA PA 16601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N71 - Olympics Committees and Related International Competitions
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 JOHN DORMAN
Signature Title PRESIDENT
Signature Date 8/4/2021

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