FORM 1023-EZ for DAVE MORSEBURGER MEMORIAL FOUNDATION

Field Data
EIN 84-4253991
Case Number EO-2021105-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVE MORSEBURGER MEMORIAL FOUNDATION
Organization’s Mailing Address 4101 N 6TH STREET
City HARRISBURG
State PA
ZIP 17001
Accounting period End 12
Primary contact name MORGAN KILLION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE STRAUSER
PRESIDENT
4101 N SIXTH STREET
HARRISBURG PA 17001

Officer/Director/Trustee Two

THOMAS BROWN
DIRECTOR
4101 N SIXTH STREET
HARRISBURG PA 17001

Officer/Director/Trustee Three

TODD RAY
DIRECTOR
4101 N SIXTH STREET
HARRISBURG PA 17001

Officer/Director/Trustee Four

TODD HOFFMAN
DIRECTOR
4101 N SIXTH STREET
HARRISBURG PA 17001

Officer/Director/Trustee Five

MORGAN KILLION
DIRECTOR
4101 N SIXTH STREET
HARRISBURG PA 17001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J11 - Single Organization Support
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 MORGAN KILLION
Signature Title DIRECTOR
Signature Date 4/13/2021

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