FORM 1023-EZ for FRIENDS OF MERION GATEWAY PARK

Field Data
EIN 82-3336507
Case Number EO-2018235-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF MERION GATEWAY PARK
Organization’s Mailing Address C/O BLISTEIN 16 MERION ROAD
City MERION STATION
State PA
ZIP 19066-1814
Accounting period End 12
Primary contact name ADAM D BLISTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM BLISTEIN
SECRETARY
16 MERION ROAD
MERION STATION PA 19066-1814

Officer/Director/Trustee Two

JON ZERGES
PRESIDENT
8 MERION ROAD
MERION STATION PA 19066-1814

Officer/Director/Trustee Three

KEVIN DUNLEAVY
TREASURER
20 MERION ROAD
MERION STATION PA 19066-1814

Officer/Director/Trustee Four

ORSOLYA LAZAR
AT-LARGE
501 LATMER ROAD
MERION STATION PA 19066-1811

Officer/Director/Trustee Five

PETER SANAMAN
AT-LARGE
538 GREYSTONE ROAD
MERION STATION PA 19066-1828

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADAM BLISTEIN
Signature Title SECRETARY
Signature Date 8/21/18

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