FORM 1023-EZ for COMMUNITY RESPONSE FOUNDATION OF WESTERN PENNSYLVANIA

Field Data
EIN 85-0884878
Case Number EO-2020148-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY RESPONSE FOUNDATION OF WESTERN PENNSYLVANIA
Organization’s Mailing Address 19 JEFFERSON AVE
City SHARON
State PA
ZIP 16146
Accounting period End 12
Primary contact name CHRISTOPHER HEARSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER HEARSEY
EXECUTIVE DIRECTOR
1220 BLAIR MILL ROAD APT 404
SILVER SPRING MD 20910

Officer/Director/Trustee Two

REBECCA PAPPAS
TREASURER
154 S OAKDALE AVE
HERMITAGE PA 16148

Officer/Director/Trustee Three

GARY HLUSKO
SECRETARY
1046 WILSON PL APT 1
CORAOPOLIS PA 15108

Officer/Director/Trustee Four

CHRISTOPHER TKACH
PRODUCTION MANAGER
6307 ROYAL TERN XING
COLUMBUS OH 43230

Organization’s website WWW.CRFWPA.ORG
Organization’s email EXECUTIVE.DIRECTOR@CRFWPA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 No
Correctness Declaration Yes
Signature Name CHRISTOPHER HEARSEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/21/2020

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