FORM 1023-EZ for TOM RIDGE MEMORIAL ENDOWMENT

Field Data
EIN 47-2779433
Case Number EO-2016238-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOM RIDGE MEMORIAL ENDOWMENT
Organization’s Mailing Address 1013 BROOKSIDE ROAD - SUITE 203
City WESCOSVILLE
State PA
ZIP 18106
Accounting period End 12
Primary contact name MARSHAL H DAVIS ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE CARLTON
DIRECTOR, PRESIDENT
1013 BROOKSIDE ROAD - SUITE 203
WESCOSVILLE PA 18106

Officer/Director/Trustee Two

STEVEN RUSSELL BRAGG
DIRECTOR, TREASURER, SECRETARY
1013 BROOKSIDE ROAD - SUITE 203
WESCOSVILLE PA 18106

Officer/Director/Trustee Three

BRIDGET FISCHBEIN
DIRECTOR
1013 BROOKSIDE ROAD - SUITE 203
WESCOSVILLE PA 18106

Officer/Director/Trustee Four

WILLIAM COLLINS JR
DIRECTOR
1013 BROOKSIDE ROAD - SUITE 203
WESCOSVILLE PA 18106

Officer/Director/Trustee Five

SEAN FRIEDLAND
DIRECTOR
1013 BROOKSIDE ROAD - SUITE 203
WESCOSVILLE PA 18106

Organization’s website
Organization’s email COMMISSIONER@KRVA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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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