FORM 1023-EZ for INDIANA YOUTH MAT CLUB

Field Data
EIN 84-3521183
Case Number EO-2019309-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIANA YOUTH MAT CLUB
Organization’s Mailing Address 289 EAST PIKE RD
City INDIANA
State PA
ZIP 15701
Accounting period End 12
Primary contact name TIMOTHY MCFARLANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY MCFARLANE
PRESIDENT
289 EAST PIKE RD
INDIANA PA 15701-2228

Officer/Director/Trustee Two

JASON BEATTY
HEAD COACH
1210 RUSTIC LODGE RD
INDIANA PA 15701-4713

Officer/Director/Trustee Three

JOSHUA WALKER
VICE PRESIDENT
100 ANN CIRCLE
INDIANA PA 15701-6006

Officer/Director/Trustee Four

CHRIS SEVAJIAN
SECRETARY
150 ORIOLE AVE
INDIANA PA 15701-1417

Officer/Director/Trustee Five

JONATHON GRANTZ
TREASURER
505 NIBERT RD
INDIANA PA 15701-6640

Organization’s website WWW.INDIANAYOUTHMATCLUB.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIMOTHY MCFARLANE
Signature Title PRESIDENT
Signature Date 11/3/19

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