FORM 1023-EZ for MIKE PETTINE FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-4002723 |
| Case Number | EO-2018022-000253 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MIKE PETTINE FOUNDATION |
| Organization’s Mailing Address | 36 HERITAGE LANE |
| City | NEW BRITAIN |
| State | PA |
| ZIP | 18901 |
| Accounting period End | 12 |
| Primary contact name | JEFFREY M GILMORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL CAREY
PRESIDENT
215 KING ROAD
CHALFONT PA 18914
Officer/Director/Trustee Two
BRIAN BUCKLEY
SECRETARY
3725 JETTY POINT
CARLSBAD CA 92010
Officer/Director/Trustee Three
JEFFREY GILMORE
TREASURER
36 HERITAGE LANE
NEW BRITAIN PA 18901
| Organization’s website | |
|---|---|
| Organization’s email | PETTINEFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/15/17 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - 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 | Yes |
| 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 | JEFFREY GILMORE |
| Signature Title | TREASURER |
| Signature Date | 1/19/18 |
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