FORM 1023-EZ for NAMI PA - DELAWARE COUNTY CHAPTER

Field Data
EIN 23-2860461
Case Number EO-2015362-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI PA - DELAWARE COUNTY CHAPTER
Organization’s Mailing Address PO BOX 567
City LANSDOWNE
State PA
ZIP 19050
Accounting period End 6
Primary contact name WILLIAM TOUEY JR CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHIRLEY GALLAGHER
PRESIDENT
2415 POPLAR RD
HAVERTOWN PA 19083

Officer/Director/Trustee Two

RICH ZIEGLER
VICE PRESIDENT
218 E 3RD ST
MEDIA PA 19063

Officer/Director/Trustee Three

KRISTIN SMITH
VICE PRESIDENT
2432 W COLONIAL DR
BOOTHWYN PA 19061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/1994
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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