FORM 1023-EZ for MONTGOMERY BROTHERS SCHOLARSHIP

Field Data
EIN 84-3600418
Case Number EO-2019312-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONTGOMERY BROTHERS SCHOLARSHIP
Organization’s Mailing Address PO BOX 11
City ADRIAN
State PA
ZIP 16210
Accounting period End 12
Primary contact name LARA JOHNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARA JOHNS
PRESIDENT
183 JOHNS ROAD
ADRIAN PA 16210

Officer/Director/Trustee Two

JUSTIN JOHNS
VICE PRESIDENT
183 JOHNS ROAD
ADRIAN PA 16210

Officer/Director/Trustee Three

CHERYL MONTGOMERY
SECRETARY
467 ADRIAN ROAD
ADRIAN PA 16210

Officer/Director/Trustee Four

AMANDA TISSLER
TREASURER
416 PEARL STREET
MANORVILLE PA 16238

Officer/Director/Trustee Five

JOSHUA YOCKEY
MARKETING COORDINATOR
340 WAGNER AVENUE
BUTLER PA 16001

Organization’s website
Organization’s email MONTBROSMEMORIAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LARA JOHNS
Signature Title PRESIDENT
Signature Date 11/6/19

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