FORM 1023-EZ for THE PENNSYLVANIA MODIFIED DOLLS

Field Data
EIN 46-4368590
Case Number EO-2016025-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PENNSYLVANIA MODIFIED DOLLS
Organization’s Mailing Address 150A WEST BROAD ST
City SALUNGA
State PA
ZIP 17538
Accounting period End 1
Primary contact name JOANNE RESIDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH MALDONADO
PRESIDENT
150A WEST BROAD STREET
SALUNGA PA 17538

Officer/Director/Trustee Two

CARRIEANNE KEMPTON
VICE PRESIDENT
325 EAST MAIN ST
MOUNT JOY PA 17552

Officer/Director/Trustee Three

TARA MOGEL
THIRD IN COMMAND
233 SOUTH MILLER ST 2ND FLOOR
SHILLINGTON PA 19607

Officer/Director/Trustee Four

JOANNE RESIDE
TREASURER
2900 OLEY TURNPIKE RD APT J6
READING PA 19606

Officer/Director/Trustee Five

TARA KEENAN
SECRETARY
209 SOUTH MARKET ST
MECHANICSBURG PA 17055

Organization’s website HTTPS://WWW.FACEBOOK.COM/PAMODIFIEDDOLLS/
Organization’s email THEPAMODIFIEDDOLLS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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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