FORM 1023-EZ for COMMUNITY LIFE ENRICHMENT FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-4195186 |
| Case Number | EO-2019277-000429 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY LIFE ENRICHMENT FOUNDATION |
| Organization’s Mailing Address | 290 MCKINNEY ROAD |
| City | WEXFORD |
| State | PA |
| ZIP | 15090 |
| Accounting period End | 12 |
| Primary contact name | DAVID L HARNISH ESQUIRE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SCOTT PAVLOT
DIRECTOR, PRESIDENT
290 MCKINNEY ROAD
WEXFORD PA 15090
Officer/Director/Trustee Two
JEAN MIENTUS
DIRECTOR
102 KINVARA ROAD
PITTSBURGH PA 15237
Officer/Director/Trustee Three
GREG PAVLOT
DIRECTOR
8813 MERSEYSIDE ROAD
CHESTERFIELD VA 23832
Officer/Director/Trustee Four
JODY DISHART
DIRECTOR
115 GRANDVIEW LAND
GIBSONIA PA 15044
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/14/19 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| 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 | SCOTT PAVLOT |
| Signature Title | DIRECTOR, PRESIDENT |
| Signature Date | 9/30/19 |
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