FORM 1023-EZ for GI 21 FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3651014 |
| Case Number | EO-2021085-000570 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GI 21 FOUNDATION |
| Organization’s Mailing Address | PO BOX 507 |
| City | SAXONBURG |
| State | PA |
| ZIP | 16056 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL ZOCK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL ZOCK
DIRECTOR/PRESIDENT/SECRETARY
PO BOX 507
SAXONBURG PA 16056
Officer/Director/Trustee Two
CHRISTI RZODKIEWICZ
TREASURER
7083 STERRETTANIA ROAD
FAIRVIEW PA 16415
Officer/Director/Trustee Three
BRIAN CUBARNEY
DIRECTOR
173 ZEHNER SCHOOL ROAD
ZELIENOPLE PA 16063
Officer/Director/Trustee Four
TODD BLUMER
DIRECTOR
219 GLEN RAPE ROAD
CRANBERRY TWP PA 16066
Officer/Director/Trustee Five
CHRISTOPHER PLATT
DIRECTOR
224 HESPENHEIDE ROAD
MARS PA 16046
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/4/2019 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G70 - Digestive Diseases, Disorders |
| 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 | 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 | MICHAEL ZOCK |
| Signature Title | DIRECTOR/PRESIDENT/SECRETARY |
| Signature Date | 2/4/2021 |
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