FORM 1023-EZ for EMILY WHITEHEAD FOUNDATION

Field Data
EIN 47-2277599
Case Number EO-2014332-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMILY WHITEHEAD FOUNDATION
Organization’s Mailing Address 606 PAULINE STREET
City PHILIPSBURG
State PA
ZIP 16866
Accounting period End 12
Primary contact name LAURA N SOLOMON ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS WHITEHEAD
PRESIDENT
606 PAULINE STREET
PHILIPSBURG PA 16866

Officer/Director/Trustee Two

KARI WHITEHEAD
VICE PRESIDENT/TREASURER
606 PAULINE STREET
PHILIPSBURG PA 16866

Officer/Director/Trustee Three

JESSI JANIEC
SECRETARY
230 LANDOVER ROAD
BRYN MAWR PA 19010

Officer/Director/Trustee Four

TOM SMITH
DIRECTOR
PO BOX 69
FARMINGTON PA 15437

Officer/Director/Trustee Five

JODIE POTTER
DIRECTOR
141 STEWART LANE
PHILIPSBURG PA 16866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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