FORM 1023-EZ for WESTERN PENNSYLVANIA CERT

Field Data
EIN 82-1791434
Case Number EO-2017188-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN PENNSYLVANIA CERT
Organization’s Mailing Address 158 VETERANS ROAD
City MERCER
State PA
ZIP 16137
Accounting period End 12
Primary contact name MARCUS KOHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS KOHAN
CHAIRMAN
158 VETERANS ROAD
MERCER PA 16137

Officer/Director/Trustee Two

PATRICK SABO
DIRECTOR
243 HIGHLAND ROAD
MERCER PA 16137

Officer/Director/Trustee Three

FRED JENNY
DIRECTOR
222 EAGLE DRIVE
CRANBERRY TWP PA 16066

Officer/Director/Trustee Four

ROY SCHARF
DIRECTOR
362 MERCER ROAD
HARMONY PA 16037

Officer/Director/Trustee Five

WES NOTOVITZ
DIRECTOR
114 WINDHAVEN LANE
PORTERSVILLE PA 16051

Organization’s website WWW.WESTERNPACERT.ORG
Organization’s email CHAIRMAN@WESTERNPACERT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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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