FORM 1023-EZ for BROTHER HOUSE - LEGION OF MARY ASSOCIATION

Field Data
EIN 83-3057156
Case Number EO-2019035-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHER HOUSE - LEGION OF MARY ASSOCIATION
Organization’s Mailing Address 510 GREEN STREET
City NORRISTOWN
State PA
ZIP 19401
Accounting period End 12
Primary contact name JACK HUBBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEO COUCHARA
PRESIDENT
510 GREEN STREET
NORRISTOWN PA 19401

Officer/Director/Trustee Two

JAMES GLENNON
SECRETARY
510 GREEN STREET
NORRISTOWN PA 19401

Officer/Director/Trustee Three

ROBERT NOWAK
TREASURER
510 GREEN STREET
NORRISTOWN PA 19401

Officer/Director/Trustee Four

MICHAEL PISKAI
VICE PRESIDENT
510 GREEN STREET
NORRISTOWN PA 19401

Officer/Director/Trustee Five

JOHN ROGERS
DIRECTOR
510 GREEN STREET
NORRISTOWN PA 19401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 JOHN ROGERS
Signature Title DIRECTOR
Signature Date 1/9/19

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