FORM 1023-EZ for AE HEARING CONNECTION

Field Data
EIN 81-3486851
Case Number EO-2016350-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AE HEARING CONNECTION
Organization’s Mailing Address 235 BLOOMFIELD DRIVE SUITE 108
City LITITZ
State PA
ZIP 17543
Accounting period End 12
Primary contact name ERIC ELLIOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAMAL ELLIOT
PRESIDENT
235 BLOOMFIELD DRIVE SUITE 108
LITITZ PA 17543

Officer/Director/Trustee Two

GERARD GLENN
VP/TREASURER
914 HIGHMEADOW CT
LANCASTER PA 17601

Officer/Director/Trustee Three

RYAN MILLER
SECRETARY
1610 MANHEIM PIKE
LANCASTER PA 17601

Organization’s website WWW.AEHEARING.ORG
Organization’s email ERIC@AEHEARING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P87 - Deaf/Hearing Impaired Centers, 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 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
Signature Title
Signature Date

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