FORM 1023-EZ for ADALYN ROSE FOUNDATION

Field Data
EIN 84-1746119
Case Number EO-2019165-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADALYN ROSE FOUNDATION
Organization’s Mailing Address 307 FOREST HILL CIRCLE
City READING
State PA
ZIP 19606
Accounting period End 12
Primary contact name CHLOE CIFERRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHLOE CIFERRI
PRESIDENT / DIRECTOR
307 FOREST HILL CIRCLE
READING PA 19606

Officer/Director/Trustee Two

ADAM CIFERRI
VICE PRESIDENT / DIRECTOR
307 FOREST HILL CIRCLE
READING PA 19606

Officer/Director/Trustee Three

RYLEY DANIELS
SECRETARY / DIRECTOR
7 TAYLOR DRIVE
READING PA 19606

Officer/Director/Trustee Four

NICHOLE MORRISSEY
TREASURER / DIRECTOR
210 MICHAEL DRIVE
READING PA 19608

Officer/Director/Trustee Five

NATALIE SMITH
DIRECTOR
25 PRIMROSE LN
SINKING SPRING PA 19608

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 CHLOE CIFERRI
Signature Title PRESIDENT / DIRECTOR
Signature Date 6/12/19

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