FORM 1023-EZ for LANCASTER COMMUNITY REIKI CLINIC

Field Data
EIN 47-4553058
Case Number EO-2015266-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANCASTER COMMUNITY REIKI CLINIC
Organization’s Mailing Address 642 NORTHFIELD ROAD
City LITITZ
State PA
ZIP 17543
Accounting period End 12
Primary contact name HELENE L WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HELENE WILLIAMS
PRESIDENT
642 NORTHFIELD ROAD
LITITZ PA 17543

Officer/Director/Trustee Two

JOANN CANOSA
V PRESIDENT
1170 OAKMONT DRIVE
LANCASTER PA 17601

Officer/Director/Trustee Three

KAY BUCHANAN
SECRETARY
853 VALLEYBROOK DRIVE
LANCASTER PA 17601

Officer/Director/Trustee Four

REBECCA HARTLEY
TREASURER
153 S EASTLAND DR
LANCASTER PA 17602

Officer/Director/Trustee Five

VICTORIA KINTZER
BOARD MEMBER
624 FREDERICK STREET
READING PA 19608

Organization’s website LANCASTERCOMMUNITYREIKICLINIC.OOM
Organization’s email REIKIHELENE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
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 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
Signature Title
Signature Date

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