FORM 1023-EZ for FANS 4 HELP

Field Data
EIN 84-4554244
Case Number EO-2020069-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FANS 4 HELP
Organization’s Mailing Address 631 HIGHLAND AVE
City CANONSBURG
State PA
ZIP 15317-2008
Accounting period End 4
Primary contact name DENNIS SMIDDLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS SMIDDLE
EXECUTIVE DIRECTOR PRESIDENT
631 HIGHLAND AVENUE
CANONSBURG PA 15317-2008

Officer/Director/Trustee Two

JAMES SCARSELLATO
VICE PRESIDENT TREASURER
15 GIFFIN DRIVE
CANONSBURG PA 15317-2008

Officer/Director/Trustee Three

SUSAN ROZAS SHORT
SECRETARY
130 WALNUT STREET
HOUSTON PA 15342

Officer/Director/Trustee Four

JOSEPH LUXBACHER
BOARD MEMBER
2237 CLAIRMONT DRIVE
PITTSBURGH PA 15241

Officer/Director/Trustee Five

JAMES SCARSELLATO
BOARD MEMBER
15 GIFFIN DRIVE
CANONSBURG PA 15317

Organization’s website
Organization’s email DENNISSMIDDLE@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2019
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: 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 DENNIS SMIDDLE
Signature Title EXECUTIVE DIRECTOR PRESIDENT
Signature Date 3/5/2020

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