FORM 1023-EZ for NORTHEAST SUICIDE PREVENTION INITIATIVE INC

Field Data
EIN 30-0780947
Case Number EO-2017256-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST SUICIDE PREVENTION INITIATIVE INC
Organization’s Mailing Address 148 S KEYSER AVE
City TAYLOR
State PA
ZIP 18517-9711
Accounting period End 12
Primary contact name KATHY WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY WALLACE
PRESIDENT
148 S KEYSER AVE
TAYLOR PA 18517-9711

Officer/Director/Trustee Two

RAY KRAKE
VICE PRESIDENT
148 S KEYSER AVE
TAYLOR PA 18517-9711

Officer/Director/Trustee Three

JUDY NAUROTH
SECRETARY
148 S KEYSER AVE
TAYLOR PA 18517-9711

Officer/Director/Trustee Four

JOHN MARSICO
TREASURER
148 S KEYSER AVE
TAYLOR PA 18517-9711

Organization’s website HTTPS://WWW.NORTHEASTSUICIDEPREVENTIONINITIATIVE.ORG
Organization’s email NSPIINFORMATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2013
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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