FORM 1023-EZ for SCOTT SIPPLE FOUNDATION

Field Data
EIN 82-5057614
Case Number EO-2018162-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCOTT SIPPLE FOUNDATION
Organization’s Mailing Address 174 E PINE GROVE RD
City PINE GROVE MILLS
State PA
ZIP 16868
Accounting period End 12
Primary contact name GREG HARPSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HW CONSTANTIN NELSON
PRESIDENT
1244 WESTERLY PARKWAY
STATE COLLEGE PA 16801

Officer/Director/Trustee Two

GREG HARPSTER
VICE PRESIDENT
174 E PINE GROVE RD
PINE GROVE MILLS PA 16868

Officer/Director/Trustee Three

CINDY HARDING
SECRETARY
150 HESS LANE
STATE COLLEGE PA 16801

Officer/Director/Trustee Four

KRISTEN HARPSTER
TREASURER
174 E PINE GROVE RD
PINE GROVE MILLS PA 16868

Officer/Director/Trustee Five

RG STITT
DIRECTOR
25 DIXON STREET
MILFORD CT 6460

Organization’s website SCOTTSIPPLEFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GREG HARPSTER
Signature Title VICE PRESIDENT
Signature Date 6/7/18

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