FORM 1023-EZ for MISS PA SCHOLARSHIP FOUNDATION

Field Data
EIN 81-4893202
Case Number EO-2017011-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISS PA SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 2413 EDGEMORE AVE
City EASTON
State PA
ZIP 18045
Accounting period End 6
Primary contact name SUSAN A PETTIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHET WELCH
DIRECTOR
350 LILLIAN ROAD
LEECHBURG PA 15656

Officer/Director/Trustee Two

MARK BEERE
DIRECTOR
116 MONTGOMERY FLATTS ROAD
FORD CITY PA 16226

Officer/Director/Trustee Three

AUTUMN MARISA-LEXER
DIRECTOR
238 MONUMENT AVE
MALVERN PA 19355

Officer/Director/Trustee Four

JUDY FITCH-GUINOSSO
DIRECTOR
219 HEATHERFIELD DRIVE
SOUDERTON PA 18964

Officer/Director/Trustee Five

SUSAN A PETTIT
DIRECTOR
2413 EDGEMORE AVE
EASTON PA 18045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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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