FORM 1023-EZ for AJ SALLUSTI FOUNDATION

Field Data
EIN 84-2434248
Case Number EO-2019336-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AJ SALLUSTI FOUNDATION
Organization’s Mailing Address 991 ETHAN COURT
City HARRISBURG
State PA
ZIP 17112
Accounting period End 12
Primary contact name CHRISTINA MAGULICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DICKEY
PRESIDENT
4810 ARNEY ROAD
HARRISBURG PA 17111

Officer/Director/Trustee Two

STEVE CONNAGHAN
VICE PRESIDENT
6246 LEHIGH AVENUE
HARRISBURG PA 17111

Officer/Director/Trustee Three

PHILIP SALLUSTI
SECRETARY
991 ETHAN COURT
HARRISBURG PA 17112

Officer/Director/Trustee Four

JOSEPH ARMSTRONG
TREASURER
3005 GREEN STREET
HARRISBURG PA 17110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 PHILIP SALLUSTI
Signature Title SECRETARY
Signature Date 11/29/2019

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