FORM 1023-EZ for KERNVILE COMMUNITY ACTION DBA KERNVILLE CONNECTS

Field Data
EIN 23-2873304
Case Number EO-2015110-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KERNVILE COMMUNITY ACTION DBA KERNVILLE CONNECTS
Organization’s Mailing Address 612 NAPOLEON ST
City JOHNSTOWN
State PA
ZIP 15901-2616
Accounting period End 12
Primary contact name VICTORIA J BREZOVIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICTORIA BREZOVIC
CHAIRMAN
612 NAPOLEON ST
JOHNSTOWN PA 15901-2616

Officer/Director/Trustee Two

DORIS FIELDS
CO-CHAIRMAN
614 FRANKLIN ST
JOHNSTOWN PA 15901-2616

Officer/Director/Trustee Three

ELAINE MARANO
SECRETARY
807 FRANKLIN ST 1ST FLOOR
JOHNSTOWN PA 15901-2616

Officer/Director/Trustee Four

EMERIS PRIEST
TREASURER
ROB AVE
JOHNSTOWN PA 15901-2616

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1997
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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