FORM 1023-EZ for PAYEE SERVICES OF BLAIR COUNTY

Field Data
EIN 81-4217317
Case Number EO-2016358-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAYEE SERVICES OF BLAIR COUNTY
Organization’s Mailing Address 4040 2ND AVE
City ALTOONA
State PA
ZIP 16602
Accounting period End 12
Primary contact name JOHN MCKELVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN MCKELVEY
PRESIDENT
4040 2ND AVE
ALTOONA PA 16602-7564

Officer/Director/Trustee Two

KAREN HITE
VICE-PRESIDENT
2711 5TH STREET
ALTOONA PA 16601-3601

Officer/Director/Trustee Three

RYAN BOUCH
BOARD MEMBER
524 EAST OGLE STREET
EBENSBURG PA 15931-2066

Officer/Director/Trustee Four

GREGG GENTILE
BOARD MEMBER
304 EAST SOUTHEY AVENUE
ALTOONA PA 16602-4210

Officer/Director/Trustee Five

EVANNA WALTER
BOARD MEMBER
133 ELKVIEW DR
DUNCANSVILLE PA 16635-6929

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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
Signature Title
Signature Date

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