FORM 1023-EZ for CHAD FOURNEY MEMORIAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-4587820 |
| Case Number | EO-2017005-000124 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CHAD FOURNEY MEMORIAL FOUNDATION |
| Organization’s Mailing Address | 500 PINE HILL DRIVE |
| City | PINE GROVE |
| State | PA |
| ZIP | 17963 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL ALLISON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL ALLISON
MEMBER
500 PINE HILL DRIVE
PINE GROVE PA 17963
Officer/Director/Trustee Two
JEFFREY MILLER
MEMBER
57 MIFFLIN STREET
PINE GROVE PA 17963
Officer/Director/Trustee Three
BROOKE LUTZ
MEMBER
287 S TULPEHOCKEN STREET
PINE GROVE PA 17963
Officer/Director/Trustee Four
JUSTIN BROWN
MEMBER
88 PLEASANT VALLEY ROAD
PINE GROVE PA 17963
| Organization’s website | WWW.CHADFOURNEYMEMORIALFOUNDATION.ORG |
|---|---|
| Organization’s email | INFO@CHADFOURNEYMEMORIALFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/1/2016 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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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