FORM 1023-EZ for AVONWORTH HOCKEY CLUB

Field Data
EIN 46-0915899
Case Number EO-2014248-000444
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AVONWORTH HOCKEY CLUB
Organization’s Mailing Address 236 SYLVAN WALK
City PITTSBURGH
State PA
ZIP 15202
Accounting period End 5
Primary contact name BRIAN PUKYLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON LANTZY
PRESIDENT
236 SYLVAN WALK
PITTSBURGH PA 15202

Officer/Director/Trustee Two

BRIAN PUKYLO
TREASURER
117 RENEE COURT
PITTSBURGH PA 15237

Officer/Director/Trustee Three

RODD SEIFARTH
VICE PRESIDENT
134 BISHOP DRIVE
PITTSBURGH PA 15237

Officer/Director/Trustee Four

ROSANNA MILLER
SECRETARY
613 NICHOLSON ROAD
PITTSBURGH PA 15143

Officer/Director/Trustee Five

MARTY KNUTH
OFFICER
26 BANBURY LANE
PITTSBURGH PA 15202

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2012
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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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