FORM 1023-EZ for LAY SERVANTS OF THE IMMACULATE HEART OF MARY

Field Data
EIN 82-4655826
Case Number EO-2018095-000319
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAY SERVANTS OF THE IMMACULATE HEART OF MARY
Organization’s Mailing Address 543 N MAIN STREET
City MOUNTAIN TOP
State PA
ZIP 18705
Accounting period End 12
Primary contact name MICHELE KOLLAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE YATISON
PRESIDENT
150 OAK STREET
PITTSTON PA 18640

Officer/Director/Trustee Two

DONNA MAGNI
VICE PRESIDENT
17 ENGLISH STREET
WEST WYOMING PA 18644

Officer/Director/Trustee Three

MICHELE KOLLAR
SECRETARY
30 ALEKSANDER BLVD
Mountain Top PA 18707-9233

Officer/Director/Trustee Four

LEO ELLIS
TREASURER
190 RED COAT LANE
HANOVER TOWNSHIP PA 18706

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELE KOLLAR
Signature Title SECRETARY
Signature Date 3/21/18

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