| Field | Data |
|---|---|
| EIN | 47-3758193 |
| Case Number | EO-2015288-000320 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JIM HARSZLAK FOUNDATION INC |
| Organization’s Mailing Address | 2452 COLVIN BOULEVARD |
| City | TONAWANDA |
| State | NY |
| ZIP | 14150 |
| Accounting period End | 12 |
| Primary contact name | SUSAN HOLLER-HARSZLAK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
SUSAN HOLLER-HARSZLAK
PRESIDENT
2452 COLVIN BLVD
TONAWANDA NY 14150
JOHN HOLLER
TREASURER
497 FAIRMONT
NORTH TONAWANDA NY 14120
CHRISTOPHER HARSZLAK
VICE PRESIDENT
75 SIMSON STREET
TONAWANDA NY 14150
PAUL KIRCHMEYER
VICE PRESIDENT
7381 WINBERT DRIVE
NORTH TONAWANDA NY 14120
DONNA SALMON
SECRETARY
412 GARDEN DRIVE
BATAVIA NY 14020
| Organization’s website | WWW.JIMHARSZLAKFOUNDATION.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/23/2015 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | 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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