FORM 1023-EZ for FRIENDS OF BELLEFONTE LITTLE HOUSE

Field Data
EIN 47-3157320
Case Number EO-2015162-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF BELLEFONTE LITTLE HOUSE
Organization’s Mailing Address 345 MOUNTAIN ACRES ROAD
City SPRING MILLS
State PA
ZIP 16875-9007
Accounting period End 12
Primary contact name RODNEY BEARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE TOYOS
PRESIDENT
345 MOUNTAIN ACRES ROAD
SPRING MILLS PA 16875-9007

Officer/Director/Trustee Two

FRANCIS SHREVE
VICE PRESIDENT
345 MOUNTAIN ACRES ROAD
SPRING MILLS PA 16875-9007

Officer/Director/Trustee Three

JENNIFER ZEIGLER
2ND VICE PRESIDENT
345 MOUNTAIN ACRES ROAD
SPRING MILLS PA 16875-9007

Officer/Director/Trustee Four

CINDY KRISHAK
SECRETARY/TREASURER
345 MOUNTAIN ACRES ROAD
SPRING MILLS PA 16875-9007

Organization’s website
Organization’s email BELLEFONTELITTLEHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O22 - Girls Clubs
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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