FORM 1023-EZ for KEYSTONE HEROES FOUNDATION

Field Data
EIN 84-4267328
Case Number EO-2020049-000481
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEYSTONE HEROES FOUNDATION
Organization’s Mailing Address 884 SOUTH 3RD STREET
City INDIANA
State PA
ZIP 15701-3713
Accounting period End 6
Primary contact name BENJAMIN G BUSH II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS CALHOUN
PRESIDENT
884 SOUTH 3RD ST
INDIANA PA 15701-3713

Officer/Director/Trustee Two

KEVIN LAZOR
VICE PRESIDENT
660 GRANT STREET
INDIANA PA 15701-3145

Officer/Director/Trustee Three

NICK BOBINETS
TREASURER
PO BOX 75
HOMER CITY PA 15748-0075

Officer/Director/Trustee Four

JAMIE SHIRING
SECRETARY
884 SOUTH 3RD ST
INDIANA PA 15701-3713

Officer/Director/Trustee Five

BENJAMIN BUSH
DIRECTOR
417 HIGH STREET
DERRY PA 15627-1147

Organization’s website
Organization’s email KEYSTONEHEROESFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
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 BENJAMIN BUSH
Signature Title DIRECTOR
Signature Date 2/14/2020

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