FORM 1023-EZ for BRIAN SHAW MEMORIAL FOUNDATION

Field Data
EIN 35-2627764
Case Number EO-2018201-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIAN SHAW MEMORIAL FOUNDATION
Organization’s Mailing Address 2644 LEECHBURG ROAD
City LOWER BURRELL
State PA
ZIP 15068
Accounting period End 12
Primary contact name CHARLES J JACQUES III ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA SHAW
PRESIDENT
3431 RIVERVIEW STREET
LOWER BURRELL PA 15068

Officer/Director/Trustee Two

STEFFAN SHAW
VICE PRESIDENT
533 GREENBRIAR AVE
NEW KENSINGTON PA 15068

Officer/Director/Trustee Three

HAYLEE OLIVER
SECRETARY
2808 KNIGHTS COURT
LOWER BURRELL PA 15068

Officer/Director/Trustee Four

BETHANN HEAKINS
TREASURER
3420 RIVERVIEW STREET
LOWER BURRELL PA 15068

Organization’s website N/A
Organization’s email LSSBSHAW@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L60 -
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA SHAW
Signature Title PRESIDENT
Signature Date 7/18/18

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