FORM 1023-EZ for DONALD J AND MARY ANN PALLONE MEMORIAL SCHOLORSHIP

Field Data
EIN 47-4528377
Case Number EO-2019128-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DONALD J AND MARY ANN PALLONE MEMORIAL SCHOLORSHIP
Organization’s Mailing Address PO BOX 248
City EMEIGH
State PA
ZIP 15738
Accounting period End 12
Primary contact name DIANA MAELZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANA MAELZER
SECR/TREASURER
2020 TWIN LANES
EMEIGH PA 15738

Officer/Director/Trustee Two

DONALD M PALLONE
PRESIDENT
5111 RTE 119
PUNXSUTAWNERY PA 15767

Officer/Director/Trustee Three

STEPHANIE BARAN
V-PRESIDENT
721 OAK STREET
NORTHERN CAMBRIA PA 15714

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/15
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DIANA MAELZER
Signature Title SECR/TREASURER
Signature Date 5/6/19

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