FORM 1023-EZ for PENNSYLVANIA STATE WORKING ANIMAL FOUNDATION INC

Field Data
EIN 82-5299087
Case Number EO-2018120-000450
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENNSYLVANIA STATE WORKING ANIMAL FOUNDATION INC
Organization’s Mailing Address 210 ANDERSONTOWN ROAD
City MECHANICSBURG
State PA
ZIP 17055
Accounting period End 12
Primary contact name ROBIN LAUVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN LAUVER
CEO
210 ANDERSONTOWN RD
MECHANICSBURG PA 17055

Officer/Director/Trustee Two

TERRI HECK
PRESIDENT/DIRECTOR
3960 LEWISBERY ROAD
LEWISBERRY PA 17339

Officer/Director/Trustee Three

CHRISTY BECKLEY
SECRETARY
896 PINE GROVE ROAD
FREDERICKSBURG PA 17026

Officer/Director/Trustee Four

ROBERT TROY
TREASURER/DIRECTOR
4340 ROTH FARM VILLAGE CIRCLE
MECHANICSBURG PA 17050

Officer/Director/Trustee Five

JEANNE TROY
DIRECTOR
4340 ROTH FARM VILLAGE CIRCLE
MECHANCISBURG PA 17050

Organization’s website
Organization’s email INFO@PASWAF.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBIN LAUVER
Signature Title CEO
Signature Date 4/26/18

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