FORM 1023-EZ for HIGHLAND CHILD AND COMMUNITY SERVICES

Field Data
EIN 46-5403221
Case Number EO-2016112-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGHLAND CHILD AND COMMUNITY SERVICES
Organization’s Mailing Address 232 E HIGH ST
City ELIZABETHTOWN
State PA
ZIP 17022
Accounting period End 3
Primary contact name NICOLE LORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE LORD
DIRECTOR/PRESIDENT
232 E HIGH ST
ELIZABETHTOWN PA 17022

Officer/Director/Trustee Two

TORI HIMMELBERGER
SECRETARY
731 S 60TH ST
HARRISBURG PA 17111

Officer/Director/Trustee Three

TAMMY STOUT
TREASURER
PA BOX 302
ELIZABETHTOWN PA 17022

Officer/Director/Trustee Four

DAWN BROTZ
BOARD MEMBER
1322 CUMBERLAND ST
HARRISBURG PA 17103

Officer/Director/Trustee Five

MADISON LEHMAN
BOARD MEMBER
1724 OLD HOWARD RD
ASHEVILLE NC 28806

Organization’s website WWW.HIGHLANDSERVICES.ORG
Organization’s email NICOLE.HIGHLANDSERVICES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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