FORM 1023-EZ for WESTERN PENNSYLVANIA FALLEN RIDERS FOUNDATION

Field Data
EIN 82-0690862
Case Number EO-2018144-000091
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN PENNSYLVANIA FALLEN RIDERS FOUNDATION
Organization’s Mailing Address 173 WALLACE RD
City BLAIRSVILLE
State PA
ZIP 15717
Accounting period End 5
Primary contact name BILL JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL JOHNSON
PRESIDENT
173 WALLACE RD
BLAIRSVILLE PA 15717

Officer/Director/Trustee Two

SCOTT FERRENBERG
VICE PRESIDENT
117 BRIAR LANE
DERRY PR 15627

Officer/Director/Trustee Three

CAROL JOHNSON
SECRETARY
173 WALLACE RD
BLAIRSVILLE PA 15717

Officer/Director/Trustee Four

SARAH GOULDING
TREASURER
117 BRIAR LANE
DERRY PA 15627

Organization’s website WWW.WPAFRF.COM
Organization’s email WPFRF@COMCAST.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 Yes
Gaming Activity Yes
Disaster relief assistance Yes
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 BILL JOHNSON
Signature Title PRESIDENT
Signature Date 5/22/18

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