FORM 1023-EZ for MSD FREDERICK PSA INC

Field Data
EIN 81-5125642
Case Number EO-2017108-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MSD FREDERICK PSA INC
Organization’s Mailing Address 101 CLARKE PLACE / 400 S CARROLL ST
City FREDERICK
State MD
ZIP 21705
Accounting period End 6
Primary contact name JOSHUA FINKLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA FINKLE
PRESIDENT
6345 CLARIDGE DR N
FREDERICK MD 21701

Officer/Director/Trustee Two

EVELYN DIXON
VICE PRESIDENT
11903 CROYDEN COURT
UNION BRIDGE MD 21791

Officer/Director/Trustee Three

TERRI BAZALEWSKI - AUSTIN
SECRETARY
10203 ALLVIEW DRIVE
FREDERICK MD 21701

Officer/Director/Trustee Four

HARMONY BRUNSON
TREASURER
1600 DYRHAM PARK DR
FREDERICK MD 21702

Organization’s website MSDFPSA.WEEBLY.COM
Organization’s email MSDFPSA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
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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