FORM 1023-EZ for BURGH VIVANT

Field Data
EIN 81-2775408
Case Number EO-2018225-000467
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURGH VIVANT
Organization’s Mailing Address 109 DAVIS ROAD
City SEWICKLEY
State PA
ZIP 15143
Accounting period End 12
Primary contact name BRIAN EDWARD LEACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN LEACH
PRESIDENT
109 DAVIS ROAD
SEWICKLEY PA 15143

Officer/Director/Trustee Two

LONNIE JANTSCH
VICE PRESIDENT
1024 LAKEMONT DR
BRIDGEVILLE PA 15107

Officer/Director/Trustee Three

MICHAEL BUZZELLI
DIRECTOR
961 LINDSAY ROAD
CARNEGIE PA 15106

Officer/Director/Trustee Four

HEIDI MATTHEWS
DIRECTOR
1932 COLOMBIA AVE
PITTSBURGH PA 15218

Officer/Director/Trustee Five

CLAIRE DEMARCO
DIRECTOR
140 MALLARD DRIVE
MCKEES ROCKS PA 15136

Organization’s website WWW.BURGHVIVANT.COM
Organization’s email ITS@BURGHVIVANT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 BRIAN LEACH
Signature Title PRESIDENT
Signature Date 8/10/18

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