FORM 1023-EZ for WHITE DOVE DOMESTIC VIOLENCE ORGANIZATION

Field Data
EIN 82-3522456
Case Number EO-2018059-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITE DOVE DOMESTIC VIOLENCE ORGANIZATION
Organization’s Mailing Address 804 SOUTH YORK STREET
City MECHANICSBURG
State PA
ZIP 17055
Accounting period End 12
Primary contact name JOAN PLEVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN PLEVICH
SECRETARY
804 SOUTH YORK ST
MECHANICSBURG PA 17055

Officer/Director/Trustee Two

SAGE MAGUIRE
DEVELOPMENT COORDINATOR
405 SHARON AVE
MECHANICSBURG PA 17055

Officer/Director/Trustee Three

AMANDA REISINGER
EXECUTIVE DIRECTOR
405 SHARON AVE
MECHANICSBURG PA 17055

Officer/Director/Trustee Four

TOBY MAGUIRE
OFFICER
405 SHARON AVE
MECHANICSBURG PA 17055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOAN PLEVICH
Signature Title SECRETARY
Signature Date 2/26/18

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