FORM 1023-EZ for KEYSTONE STATE ATHLETIC ASSOCIATION

Field Data
EIN 85-0854782
Case Number EO-2020125-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEYSTONE STATE ATHLETIC ASSOCIATION
Organization’s Mailing Address 2575 EASTERN BLVD
City YORK
State PA
ZIP 17402
Accounting period End 12
Primary contact name BLAIR L POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAIR L POWELL
PRESIDENT
2575 EASTERN BLVD
YORK PA 17402

Officer/Director/Trustee Two

WILLIAM L WILSON
TREASURER
5007 ROYAL DRIVE
HARRISBURG PA 17109

Officer/Director/Trustee Three

KEITH MATTHEWS
SECRETARY
5941 DAYWALT AVENUE
BALTIMORE MD 21206

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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 BLAIR L POWELL
Signature Title PRESIDENT
Signature Date 4/30/2020

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