FORM 1023-EZ for CENTRAL PENNSYLVANIA HEARTSAFE NEIGHBORHOOD

Field Data
EIN 81-1148327
Case Number EO-2016308-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL PENNSYLVANIA HEARTSAFE NEIGHBORHOOD
Organization’s Mailing Address 1410 WELLGATE LANE
City MECHANICSBURG
State PA
ZIP 17055
Accounting period End 12
Primary contact name ANN KEISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM ODOMS
PRESIDENT
1410 WELLGATE LANE
MECHANICSBURG PA 17055

Officer/Director/Trustee Two

ANN KEISER
SECRETARY/TREASURER
406 RICKY ROAD
MECHANICSBURG PA 17055

Organization’s website WWW.CENTRALPAHEARTSAFE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
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 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
Signature Title
Signature Date

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