FORM 1023-EZ for WESTSIDE MISSION COLLABORATIVE

Field Data
EIN 47-5324262
Case Number EO-2015327-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTSIDE MISSION COLLABORATIVE
Organization’s Mailing Address 1245 W HAMILTON STREET
City ALLENTOWN
State PA
ZIP 18102-4337
Accounting period End 12
Primary contact name WILLIAM MAXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL BRADEN
PRESIDENT
2886 HOPE RIDGE DRIVE
EASTON PA 18045-8144

Officer/Director/Trustee Two

WILLIAM MAXON
TREASURER
6357 LARCH LANE
MACUNGIE PA 18062-9381

Officer/Director/Trustee Three

MARITZA DOLICH
DIRECTOR
4031 ETTORINA DRIVE
WALNUTPORT PA 18088-9527

Officer/Director/Trustee Four

JOHN DEISINGER
DIRECTOR
800 HAUSMAN ROAD
ALLENTOWN PA 18104

Officer/Director/Trustee Five

DONNA DEAL
DIRECTOR
3202 MAIN STREET
SPRINGTOWN PA 18081

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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