FORM 1023-EZ for GLOCK FOUNDATION

Field Data
EIN 47-5055905
Case Number EO-2015272-000505
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLOCK FOUNDATION
Organization’s Mailing Address 5150 ORCHARD AVE
City BETHEL PARK
State PA
ZIP 15102
Accounting period End 12
Primary contact name TIMOTHY GLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL GLOCK
PRESIDENT
5150 ORCHARD AVE
BETHEL PARK PA 15102

Officer/Director/Trustee Two

JULIE SENCHAK
VICE PRESIDENT
5835 WINDSOR COURT
MCDONALD PA 15057

Officer/Director/Trustee Three

DIANE MCCLUNE
TREASURER
5 VAN LANE
BEAVER PA 15009

Officer/Director/Trustee Four

TIMOTHY GLOCK
SECRETARY
5150 ORCHARD AVENUE
BETHEL PARK PA 15102

Officer/Director/Trustee Five

DREW KEYS
FUND DEVELOPMENT COORDINATOR
229 CLIFFSIDE DRIVE
MARS PA 16046

Organization’s website WWW.GLOCKFOUNDATION.ORG
Organization’s email GLOCKTJ@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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