FORM 1023-EZ for COLUMBIA MONTOUR COUNTY TREATMENT PROGRAMS

Field Data
EIN 81-3615463
Case Number EO-2016246-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLUMBIA MONTOUR COUNTY TREATMENT PROGRAMS
Organization’s Mailing Address 35 WEST MAIN STREET
City BLOOMSBURG
State PA
ZIP 17815
Accounting period End 12
Primary contact name THOMAS LEIPOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS LEIPOLD
PRESIDENT
35 WEST MAIN STREET
BLOOMSBURG PA 17815

Officer/Director/Trustee Two

BARBARA GORRELL
VICE PRESIDENT
PO BOX 219
DANVILLE PA 17821

Officer/Director/Trustee Three

FRANCES FRALEY
SECRETARY
35 WEST MAIN STREET
BLOOMSBURG PA 17815

Officer/Director/Trustee Four

WESTON BREHM
DIRECTOR
451 DERRS ROAD
BENTON PA 17814

Officer/Director/Trustee Five

LOUISE GROVE
TREASURER
128 SLABTOWN ROAD
CATAWISSA PA 17820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 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
Signature Title
Signature Date

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