FORM 1023-EZ for JASON LEE SPOERLEIN MEMORIAL FUND

Field Data
EIN 86-2035347
Case Number EO-2021099-001012
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JASON LEE SPOERLEIN MEMORIAL FUND
Organization’s Mailing Address 2022 BEACON HILL DR
City NEWTON
State PA
ZIP 18940
Accounting period End 12
Primary contact name MICHAEL BOOTIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BOOTIER
PRESIDENT
2022 BEACON HILL DR
NEWTON PA 18940

Officer/Director/Trustee Two

CHARLES POTTER
VICE PRESIDENT
72-36 112TH ST APT 101
FOREST HILLS NY 11375

Officer/Director/Trustee Three

ANDREW PETERSON
TREASURER
2304 MEADOW VUE DR
MOON TOWNSHIP PA 15108

Officer/Director/Trustee Four

CHRISTOPHER YOHE
SECRETARY
209 OLD HICKORY RD
ZELIENOPLE PA 16063

Organization’s website JLSMEMORIALFUND.COM
Organization’s email JLSMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 CHRISTOPHER YOHE
Signature Title SECRETARY
Signature Date 3/18/2021

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