FORM 1023-EZ for ELIZABETHVILLE AREA COMMUNITY ALLIANCE INC

Field Data
EIN 82-1523695
Case Number EO-2017146-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIZABETHVILLE AREA COMMUNITY ALLIANCE INC
Organization’s Mailing Address 192 CEDAR STREET PO BOX 60
City ELIZABETHVILLE
State PA
ZIP 17023
Accounting period End 12
Primary contact name MANDY CARL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANDY CARL
PRESIDENT
254 WEST BROAD ST
ELIZABETHVILLE PA 17023

Officer/Director/Trustee Two

DERRICK MICHAEL
VICE PRESIDENT
597 HARMAN ROAD
HALIFAX PA 17032

Officer/Director/Trustee Three

DEBRA BOYER
SECRETARY
131 NURSERY ROAD
ELIZABETHVILLE PA 17023

Officer/Director/Trustee Four

REBECCA MILLER
TREASURER
306 TENNESSEE AVE
ELIZABETHVILLE PA 17023

Officer/Director/Trustee Five

CHRIS PAUL
DIRECTOR
115 EAST BROAD STREET
ELIZABETHVILLE PA 17023

Organization’s website WWW.ELIZABETHVILLEAREACOMMUNITYALLIANCE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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