FORM 1023-EZ for THE BRODOVICZ FUND

Field Data
EIN 83-1226900
Case Number EO-2018199-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BRODOVICZ FUND
Organization’s Mailing Address 318 W MEADOW DR
City MECHANICSBURG
State PA
ZIP 17055
Accounting period End 12
Primary contact name BEN A BRODOVICZ JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEN BRODOVICZ JR
DIRECTOR/PRESIDENT/TREASURER
318 W MEADOW DR
MECHANICSBURG PA 17055

Officer/Director/Trustee Two

JUDITH BRODOVICZ
DIRECTOR/SECRETARY
318 W MEADOW DR
MECHANICSBURG PA 17055

Officer/Director/Trustee Three

LAWRENCE DEFLURI
DIRECTOR
3401 N FRONT ST STE 301
HARRISBURG PA 17110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T21 - Corporate Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BEN BRODOVICZ JR
Signature Title DIRECTOR/PRESIDENT/TREASURER
Signature Date 7/16/18

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