FORM 1023-EZ for ELANCO RELEASE TIME

Field Data
EIN 46-0705256
Case Number EO-2016162-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELANCO RELEASE TIME
Organization’s Mailing Address 202 OAK LANE PO BOX 276
City TERRE HILL
State PA
ZIP 17581
Accounting period End 12
Primary contact name STEPHEN HORST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN HORST
TREASURER
202 OAK LANE
TERRE HILL PA 17581

Officer/Director/Trustee Two

EARL KREIDER
VICE CHAIRMAN
202 OAK LANE
TERRE HILL PA 17581

Officer/Director/Trustee Three

KIMBERLY WILLIAM
SECRETARY
202 OAK LANE
TERRE HILL PA 17581

Officer/Director/Trustee Four

JOEL MARTIN
BOARD MEMBER
202 OAK LANE
TERRE HILL PA 17581

Officer/Director/Trustee Five

DOUG BOZUNG
CHAIRMAN
202 OAK LANE
TERRE HILL PA 17581

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2012
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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