FORM 1023-EZ for THE JIMMY VOLLRATH FUND INC

Field Data
EIN 82-2588359
Case Number EO-2017258-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JIMMY VOLLRATH FUND INC
Organization’s Mailing Address 796 5TH STREET
City OXFORD
State PA
ZIP 19363
Accounting period End 12
Primary contact name WILLIAM CULBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE MORAN
PRESIDENT AND DIRECTOR
796 5TH STREET
OXFORD PA 19363

Officer/Director/Trustee Two

SETH BEITZ
VICE PRESIDENT AND DIRECTOR
135 FISHER DRIVE
YORK PA 17404

Officer/Director/Trustee Three

CLAY STEADMAN
TREASURER AND DIRECTOR
4800 SOUTH HILL ROAD
MCKEAN PA 16426

Officer/Director/Trustee Four

JAMES ENGLISH
VICE PRESIDENT AND DIRECTOR
340 ROSEMONT DRIVE
STATE COLLEGE PA 16801

Officer/Director/Trustee Five

JUSTIN ORTEGA
SECRETARY AND DIRECTOR
531 NEW STREET
OXFORD PA 19363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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