FORM 1023-EZ for MID-ATLANTIC INTERGOVERNMENTAL AUDIT FORUM

Field Data
EIN 47-2711472
Case Number EO-2015037-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID-ATLANTIC INTERGOVERNMENTAL AUDIT FORUM
Organization’s Mailing Address 401 FEDERAL STREET SUITE 1
City DOVER
State DE
ZIP 19901
Accounting period End 12
Primary contact name KATHLEEN A DAVIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN SYSAK
CHAIRMAN, SINGLE AUDIT COMM CHAIR
10 S HOWARD ST SUITE 4500
BALTIMORE MD 21201

Officer/Director/Trustee Two

KATHLEEN DAVIES
VICE CHAIR, EXEC DIR, PROGRAM CHAIR
401 FEDERAL ST SUITE 1
DOVER DE 19901

Officer/Director/Trustee Three

KONSTANTINOS TSAKOS
LOCAL REPRESENTATIVE
1401 JFK BLVD 12TH FLOOR
PHILADELPHIA PA 19102

Officer/Director/Trustee Four

CARL JANNETTI
FEDERAL REPRESENTATIVE
401 NINTH STREET NW
WASHINGTON DC 20004

Officer/Director/Trustee Five

JOHN KASCHAK
STATE REPRESENTATIVE
555 WALNUT ST 9TH FLOOR
HARRISBURG PA 17101

Organization’s website HTTP://AUDITFORUM.ORG/ABOUT-US/REGIONAL-AUDIT-FORUMS/MAIAF/
Organization’s email KATHLEEN.DAVIES@STATE.DE.US
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/1974
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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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