FORM 1023-EZ for KENNETT CRUSH FHC FOUNDATION

Field Data
EIN 83-1853399
Case Number EO-2019039-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENNETT CRUSH FHC FOUNDATION
Organization’s Mailing Address 601 MAGNOLIA COURT
City KENNETT SQUARE
State PA
ZIP 19348
Accounting period End 12
Primary contact name DEBORAH M SEARS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANIA BURNS
PRESIDENT
100 SAGE WAY
LANDENBERG PA 19350

Officer/Director/Trustee Two

RYAN DONNELL
VICE PRESIDENT
212 DELAWARE CIRCLE
AVONDALE PA 19311

Officer/Director/Trustee Three

JEN GRUCE
SECRETARY
185 SHINNECOCK HILL
AVONADALE PA 19311

Officer/Director/Trustee Four

DEBORAH SEARS
TREASURER
108 CANDLEWYCK DRIVE
AVONDALE PA 19311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 No
Correctness Declaration Yes
Signature Name DEBORAH SEARS
Signature Title TREASURER
Signature Date 2/5/19

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