FORM 1023-EZ for CENTRAL PA THIN BLUE LINE FAMILIES

Field Data
EIN 46-5018100
Case Number EO-2015121-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL PA THIN BLUE LINE FAMILIES
Organization’s Mailing Address 4200 CRUMS MILL RD FL 2
City HARRISBURG
State PA
ZIP 17112
Accounting period End 12
Primary contact name CARRIE WISE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAWN ZATORSKI
PRESIDENT
371 OAKLYN ROAD
LEBANON PA 17042

Officer/Director/Trustee Two

DOROTHY AGUE
VICE PRESIDENT
263 CRESTVIEW CIRCLE
PALMYRA PA 17078

Officer/Director/Trustee Three

SHAWNA TINGLE
TREASURER
4 TOMMY LANE
ENOLA PA 17025

Officer/Director/Trustee Four

AMANDA LIGHTY
SECRETARY
2210 GUILFORD STREET
LEBANON PA 17046

Officer/Director/Trustee Five

CARRIE WISE
TRUSTEE
715 CHARLES ROAD
DAUPHIN PA 17018-9628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
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 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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