FORM 1023-EZ for GUARDIANS OF THE CHILDREN PENNSYLVANIA

Field Data
EIN 83-1806648
Case Number EO-2018263-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUARDIANS OF THE CHILDREN PENNSYLVANIA
Organization’s Mailing Address 1707 RESERVOIR RD
City HOLLIDAYSBURG
State PA
ZIP 16648
Accounting period End 12
Primary contact name DALE E SHAFFER JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE SHAFFER
CHAIRMAN
1707 RESERVOIR RD
HOLLIDAYSBURG PA 16648

Officer/Director/Trustee Two

LISA SHAFFER
DIRECTOR
1707 RESERVOIR RD
HOLLIDAYSBURG PA 16648

Officer/Director/Trustee Three

JOSH HINTERBERGER
DIRECTOR
225 INLOWS ROAD APT2
DUNCANSVILLE PA 16635

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R27 - Patient Rights
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DALE SHAFFER
Signature Title CHAIRMAN
Signature Date 9/18/18

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