FORM 1023-EZ for HERSHEY CIVIL WAR ROUNDTABLE

Field Data
EIN 81-5456377
Case Number EO-2017079-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERSHEY CIVIL WAR ROUNDTABLE
Organization’s Mailing Address PO BOX 369
City PALMYRA
State PA
ZIP 17078-0368
Accounting period End 1
Primary contact name RICKY HOLLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICKY HOLLIS
PRESIDENT
157 PICKWICK CIRCLE
PALMYRA PA 17078

Officer/Director/Trustee Two

WILLIAM JACKSON
VICE PRESIDENT
1406 BRADLEY AVE
HUMMELSTOWN PA 17036

Officer/Director/Trustee Three

WILLIAM BAILEY
CO-SECRETERY
379 TIMBER BLV
LEBANON PA 17042

Officer/Director/Trustee Four

ROGER FELTY
CO-SECRETERY
909 S 2ND AVE
LEBANON PA 17042

Officer/Director/Trustee Five

ROBERT WATSON
DIRECTOR
1080 GREENHILL DRIVE
HUMMELSTOWN PA 17036

Organization’s website HERSHEYCWRT.ORG
Organization’s email HERSHEYCWRT@VERIZON.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2007
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: No
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 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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