| Field | Data |
|---|---|
| EIN | 83-1125386 |
| Case Number | EO-2018211-000111 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KEYSTONE CHIRO HEALTH INC |
| Organization’s Mailing Address | 12456 LAKESIDE DRIVE |
| City | CONNEAUT LAKE |
| State | PA |
| ZIP | 16316 |
| Accounting period End | 12 |
| Primary contact name | KATHERINE VYROSTEK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TIMOTHY VYROSTEK
DIRECTOR, PRESIDENT
12456 LAKESIDE DRIVE
CONNEAUT LAKE PA 16316
RONALD MIDDLETON
DIRECTOR
12456 LAKESIDE DRIVE
CONNEAUT LAKE PA 16316
RICHARD ELWELL
DIRECTOR
12456 LAKESIDE DRIVE
CONNEAUT LAKE PA 16316
KATHERINE VYROSTEK
SECRETARY/TREASURER
12456 LAKESIDE DRIVE
CONNEAUT LAKE PA 16316
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/18 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | 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 | TIMOTHY VYROSTEK |
| Signature Title | DIRECTOR, PRESIDENT |
| Signature Date | 7/26/18 |
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