FORM 1023-EZ for NAMI-KEYSTONE PA WASHINGTON COUNTY

Field Data
EIN 25-1802881
Case Number EO-2021099-002002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAMI-KEYSTONE PA WASHINGTON COUNTY
Organization’s Mailing Address 425 MEADOW CT
City CANONSBURG
State PA
ZIP 15317-6088
Accounting period End 7
Primary contact name JIM GLEASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES GLEASON
PRESIDENT
425 MEADOW CT
CANONSBURG PA 15317-6088

Officer/Director/Trustee Two

PATRICIA STAVOVY
SECRETARY/TREASURER
1006A LYNN PORTAL RD
WASHINGTON PA 15301-8788

Officer/Director/Trustee Three

MARGARET FROYD-BAILS
VICE PRESIDENT
603 N MAIN ST
WASHINGTON PA 15301-3984

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/1999
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name JAMES GLEASON
Signature Title PRESIDENT
Signature Date 3/23/2021

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