FORM 1023-EZ for PIXIE DUST WISHES

Field Data
EIN 81-5203104
Case Number EO-2017072-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIXIE DUST WISHES
Organization’s Mailing Address 352 MCBATH ST
City STATE COLLEGE
State PA
ZIP 16801
Accounting period End 12
Primary contact name JAIMIE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIMIE MILLER
PRESIDENT/EXECUTIVE DIRECTOR
352 MCBATH STREET
STATE COLLEGE PA 16801-2700

Officer/Director/Trustee Two

PATRICK BRANNEN
VICE PRESIDENT
2432 RAVEN HOLLOW RD
STATE COLLEGE PA 16801-3044

Officer/Director/Trustee Three

REGINA BRANNEN
SECRETARY
2432 RAVEN HOLLOW RD
STATE COLLEGE PA 16801-3044

Officer/Director/Trustee Four

ANDREA CHIRIELEISON
TREASURER
1872 JAMES AVE
STATE COLLEGE PA 16801-3060

Organization’s website WWW.PIXIEDUSTWISHES.ORG
Organization’s email PIXIEDUSTWISHES1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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