FORM 1023-EZ for AUSTIN JAMES FOUNDATION INC

Field Data
EIN 82-1065455
Case Number EO-2018025-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUSTIN JAMES FOUNDATION INC
Organization’s Mailing Address 15 RICHARD STREET
City ASHLEY
State PA
ZIP 18706
Accounting period End 6
Primary contact name ALEXANDRA GEORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDRA GEORGE
PRESIDENT/OFFICER
15 RICHARD ST
ASHLEY PA 18706

Officer/Director/Trustee Two

DMITRI YAPLE
VICE PRESIDENT
32 MANHATTAN ST
ASHLEY PA 18706

Officer/Director/Trustee Three

JAMIE RONGONE
TREASURER
9 SEVEN IRON DRIVE
MOUNTAIN TOP PA 18707

Officer/Director/Trustee Four

REBECCA BARANOWSKI
MEDICAL LIAISON
27 RACE ROAD
DALLAS PA 18612

Officer/Director/Trustee Five

MARIA YERMAL-GEORGE
SECRETARY
15 RICHARD ST
ASHLEY PA 18706

Organization’s website HTTP://AUSTINJAMESFOUNDATION.WEEBLY.COM
Organization’s email AUSTINJAMESFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - 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 ALEXANDRA GEORGE
Signature Title PRESIDENT/OFFICER
Signature Date 1/23/18

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