FORM 1023-EZ for FOUR CHAPLAINS MEMORIAL OF YORK COUNTY

Field Data
EIN 82-5023711
Case Number EO-2019073-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUR CHAPLAINS MEMORIAL OF YORK COUNTY
Organization’s Mailing Address 3000 NORTH BROOK CR
City YORK
State PA
ZIP 17403
Accounting period End 12
Primary contact name GLENN D MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLENN MILLER
PRESIDENT
3000 NORTH BROOK CIR
YORK PA 17403

Officer/Director/Trustee Two

LOU LAVETAN
VICE PRESIDENT
2575 STANDFORD DR
YORK PA 17403

Officer/Director/Trustee Three

NATHAN LIGHTNER
TREASURER
865 SHARON AVE
YORK PA 17356

Officer/Director/Trustee Four

CRAIG ELLIS
SECRETARY
4 ELMWOOD BLVD
YORK PA 17403

Officer/Director/Trustee Five

RACHAEL KOHR
PROGRAM OFFICER
380 STONEWALL RD
YORK PA 17402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A84 - Commemorative Events
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 GLENN MILLER
Signature Title PRESIDENT
Signature Date 3/12/19

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