FORM 1023-EZ for PATRICK WAIBEL MEMORIAL FUND

Field Data
EIN 81-3041432
Case Number EO-2017163-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PATRICK WAIBEL MEMORIAL FUND
Organization’s Mailing Address 532 JOYCE STREET
City APOLLO
State PA
ZIP 15613
Accounting period End 12
Primary contact name JASON MAXWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM LANDIS
OFFICER
532 JOYCE STREET
APOLLO PA 15613

Officer/Director/Trustee Two

NATHAN THIMONS
OFFICER
400 LIMESTONE COURT
PITTSBURGH PA 15239

Officer/Director/Trustee Three

JASON MAXWELL
OFFICER
544 RICH HILL ROAD
APOLLO PA 15613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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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