FORM 1023-EZ for DONEGAL SUBSTANCE ABUSE ALLIANCE
| Field | Data |
|---|---|
| EIN | 82-2740792 |
| Case Number | EO-2017278-000403 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DONEGAL SUBSTANCE ABUSE ALLIANCE |
| Organization’s Mailing Address | 15 W MAIN STREET APT A 1ST FLR FT |
| City | MOUNT JOY |
| State | PA |
| ZIP | 17552 |
| Accounting period End | 12 |
| Primary contact name | STACY EMMINGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STACY EMMINGER
PRESIDENT
47 DONEGAL SPRINGS ROAD
MOUNT JOY PA 17552
Officer/Director/Trustee Two
SHANNON THEURER
TREASURER
484 W BAINBRIDGE ST
ELIZABETHTOWN PA 17022
Officer/Director/Trustee Three
ALEXIS HAVENER
SECRETARY
47 DONEGAL SPRINGS ROAD
MOUNT JOY PA 17552
Officer/Director/Trustee Four
STEPHEN MERCADO
MEMBER AT LARGE
145 W MARKET STREET
MARIETTA PA 17547
| Organization’s website | WWW.DSASQUARED.ORG |
|---|---|
| Organization’s email | DSASQUARED@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/28/2017 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | |
| Signature Title | |
| Signature Date |
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