FORM 1023-EZ for ANDY FOREVER

Field Data
EIN 82-3228469
Case Number EO-2021093-000564
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDY FOREVER
Organization’s Mailing Address 3831 BERRY AVE
City DREXEL HILL
State PA
ZIP 19026
Accounting period End 12
Primary contact name STACEY BRUHN-ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY BRUHN-ROBINSON
PRESIDENT
3831 BERRY AVE
DREXEL HILL PA 19026

Officer/Director/Trustee Two

BETTY JEAN CICCHINELLI
VICE PRESIDENT
811 SHADELAND AVE
DREXEL HILL PA 19026

Officer/Director/Trustee Three

KATELYN MCHUGH
SECRETARY
1123 WYNBROOK DRIVE
SECANE PA 19018

Organization’s website www.andyforever.org
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STACEY BRUHN-ROBINSON
Signature Title PRESIDENT
Signature Date 3/2/2021
EIN 82-3228469
Case Number EO-2018039-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDY FOREVER INC
Organization’s Mailing Address 3831 BERRY AVE
City DREXEL HILL
State PA
ZIP 19026
Accounting period End 12
Primary contact name STACEY BRUHN ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY BRUHN ROBINSON
PRESIDENT
3831 BERRY AVE
DREXEL HILL PA 19026

Officer/Director/Trustee Two

CHARLENE MCHUGH
TREASURER
1108 PROVIDENCE ROAD
SECANE PA 19018

Officer/Director/Trustee Three

KATELYN MCHUGH
SECRETARY
1108 PROVIDENCE ROAD
SECANE PA 19018

Organization’s website ANDYFOREVER73@YAHOO.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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 STACEY BRUHN ROBINSON
Signature Title PRESIDENT
Signature Date 2/6/18

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