FORM 1023-EZ for IAN M MCCLOSKEY MEMORIAL FUND

Field Data
EIN 47-3931539
Case Number EO-2015141-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IAN M MCCLOSKEY MEMORIAL FUND
Organization’s Mailing Address 1812 SCARLETT LANE
City MIDDLETOWN
State PA
ZIP 17057
Accounting period End 12
Primary contact name ROY MCCLOSKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROY MCCLOSKEY
PRESIDENT
1812 SCARLETT LANE
MIDDLETOWN PA 17057

Officer/Director/Trustee Two

DAVID ANDERSON
VICE PRESIDENT
522 ELLEN CROFT DRIVE
LEWISBERRY PA 17339

Officer/Director/Trustee Three

JEFF MCCREARY
SECRETARY
412 ELMSHIRE DRIVE
LANCASTER PA 17603

Officer/Director/Trustee Four

R MARK THOMAS
TRESURER
913 ALLISON AVE
MECHANICSBURG PA 17055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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