FORM 1023-EZ for SUSQUEHANNA COUNTY LONG TERM RECOVERY COMMITTEE

Field Data
EIN 46-5451166
Case Number EO-2018250-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUSQUEHANNA COUNTY LONG TERM RECOVERY COMMITTEE
Organization’s Mailing Address PO BOX 194
City NEW MILFORD
State PA
ZIP 18834
Accounting period End 12
Primary contact name TOM MEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MEYER
CHAIRMAN
3539 STATE ROUTE 2073
KINGSLEY PA 18826

Officer/Director/Trustee Two

JANE PYKUS
VICE CHAIR
15 PRATT STREET
NEW MILFORD PA 18834

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/24/12
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 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 Yes
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 THOMAS MEYER
Signature Title CHAIRMAN
Signature Date 9/5/18
EIN 46-5451166
Case Number EO-2014282-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSQUEHANNA COUNTY LONG TERM RECOVERY COMMITTEE
Organization’s Mailing Address PO BOX 586
City GREAT BEND
State PA
ZIP 18821
Accounting period End 12
Primary contact name THOMAS MEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS MEYER
CHAIRMAN
3539 SR 2073
KINGSLEY PA 18826

Officer/Director/Trustee Two

JANE PYKUS
VICE CHAIRWOMAN
PO BOX 577
NEW MILFORD PA 18834

Officer/Director/Trustee Three

DAVID PALMER
TREASURER
443 MATEER ROAD
HOP BOTTOM PA 18824

Officer/Director/Trustee Four

RALPH CHRISTENSEN
SECRETARY
PO BOX 52
BROOKLYN PA 18813

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/24/2012
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 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 Yes
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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