FORM 1023-EZ for PATRIOT PARK FOUNDATION

Field Data
EIN 85-3170521
Case Number EO-2020279-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRIOT PARK FOUNDATION
Organization’s Mailing Address 6150 LINCOLN HIGHWAY
City STOYSTOWN
State PA
ZIP 15501
Accounting period End 12
Primary contact name DONALD NEWMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL MUSSER
PRESIDENT
906 BUCKSTOWN RD
STOYSTOWN PA 15363

Officer/Director/Trustee Two

ROBERT E SEMBOWER
VICE PRESIDENT
603 W RACE ST
SOMERSET PA 15501

Officer/Director/Trustee Three

CLAIR GILL
TREASURER
1646 PENINSULA DR
CENTRAL CITY PA 15926

Officer/Director/Trustee Four

DONALD NEWMAN
SECRETARY
2288 CLYMER CT
THE VILLAGES FL 32163

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2005
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
Organization’s purpose Charitable: Yes
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 DONALD NEWMAN
Signature Title SECRETARY
Signature Date 10/3/2020

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