FORM 1023-EZ for NORTHERN TIER COALITION FOR FAMILIES

Field Data
EIN 82-4621678
Case Number EO-2018064-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN TIER COALITION FOR FAMILIES
Organization’s Mailing Address PO BOX 203
City TOWANDA
State PA
ZIP 18848
Accounting period End 12
Primary contact name LISA K WILCOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH TERILLIGER
DIRECTOR
5667 JACKSON VALLEY ROAD
WARREN CENTER PA 18851

Officer/Director/Trustee Two

DESIREE ROCKWELL
DIRECTOR
761 VANHORN ROAD
GRANVILLE SMT PA 16926

Officer/Director/Trustee Three

MELINDA GODSHALL
DIRECTOR
2901 BREWER HOLLOW ROAD
WYALUSING PA 18853

Officer/Director/Trustee Four

DANIELLE IRWIN
DIRECTOR
238 SOUTH WILLIAMSON ROAD
BLOSSBURG PA 16912

Officer/Director/Trustee Five

LISA WILCOX
DIRECTOR
PO BOX 394
DUSHORE PA 18614

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 LISA WILCOX
Signature Title DIRECTOR
Signature Date 3/2/18

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