FORM 1023-EZ for THE ARC OF NORTH CENTRAL PENNSYLVANIA

Field Data
EIN 47-5050098
Case Number EO-2015288-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ARC OF NORTH CENTRAL PENNSYLVANIA
Organization’s Mailing Address 4 BRIDGE STREET
City TOWANDA
State PA
ZIP 18848
Accounting period End 6
Primary contact name NICOLE GOLDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE GOLDEN
PRESIDENT
9 CHERRY LANE
SAYRE PA 18840

Officer/Director/Trustee Two

MARY SANDOR
VICE PRESIDENT
159 LAKEVIEW LANE
ULSTER PA 18850

Officer/Director/Trustee Three

BONNIE WILLIAMS
2ND VICE PRESIDENT
3285 ROLLING HILLS ROAD
ULSTER PA 18850

Officer/Director/Trustee Four

CATHY COUNTS
SECRETARY
111 LOUISE STREET
SAYRE PA 18840

Officer/Director/Trustee Five

MELISSA SENTIFF
TREASURER
PFCO 4 BRIDGE STREET
TOWANDA PA 18848

Organization’s website
Organization’s email ARCOFNORTHCENTRALPA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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