FORM 1023-EZ for INDIANA COUNTY FOOTBALL CLUB INC

Field Data
EIN 81-3165094
Case Number EO-2017129-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA COUNTY FOOTBALL CLUB INC
Organization’s Mailing Address 825 N HARMONY ROAD
City PENN RUN
State PA
ZIP 15765
Accounting period End 6
Primary contact name JAMES THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES THOMPSON
PRESIDENT
825 N HARMONY ROAD
PENN RUN PA 15765

Officer/Director/Trustee Two

AMY SHOPE MANZI
BUSINESS DIRECTOR
4749 LUCERNE ROAD
INDIANA PA 15701

Officer/Director/Trustee Three

NATHAN WYGONIK
MANAGING DIRECTOR
493 MAPLE STREET
INDIANA PA 15701

Officer/Director/Trustee Four

SIMEON NOVELS
PROGRAM DIRECTOR
1183 WASHINGTON STREET
INDIANA PA 15701

Officer/Director/Trustee Five

CHRISTOPHER JEFFORDS
FINANCE DIRECTOR
90 SHADY DRIVE
INDIANA PA 15701

Organization’s website HTTP://INDIANACOUNTYFOOTBALLCLUB.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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