FORM 1023-EZ for KEYSTONE AMBUCS

Field Data
EIN 20-5884889
Case Number EO-2019203-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEYSTONE AMBUCS
Organization’s Mailing Address 208 MASTERS DRIVE
City POTTSTOWN
State PA
ZIP 19464
Accounting period End 5
Primary contact name GWYN MAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GWYN MAYS
TREASURER
208 MASTERS DR
POTTSTOWN PA 19464

Officer/Director/Trustee Two

RICHARD MAZIARZ
PRESIDENT
502 FARMINGTON DR
DOUGLASVILLE PA 19518

Officer/Director/Trustee Three

JUDY SLINKARD
V.P.
119 MEADOWCREST LA
DOUGLASVILLE PA 19518

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/06
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GWYN MAYS
Signature Title TREASURER
Signature Date 7/18/19

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