FORM 1023-EZ for STEAMTOWN HERO GUARD INC

Field Data
EIN 86-2910701
Case Number EO-2021270-000688
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEAMTOWN HERO GUARD INC
Organization’s Mailing Address 1104 CORTEZ ROAD
City LAKE ARIEL
State PA
ZIP 18436
Accounting period End 12
Primary contact name JENNIFER ADAMS-BURIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER ADAMS-BURIAN
CEO
1093 CORTEZ ROAD
LAKE ARIEL PA 18436

Officer/Director/Trustee Two

DAVID ZIEMBICKI
TREASURE
1105 CORTEZ ROAD
LAKE ARIEL PA 18436

Officer/Director/Trustee Three

KIMBERLY MILLER
SECRATARY
1221 KELLY DRIVE
OLD FORGE PA 18518

Officer/Director/Trustee Four

ALEIA STULL
BOARD MEMBER
1262 VINE STREET
OLD FORGE PA 18518

Officer/Director/Trustee Five

ROBERT LEOMBRUNI
BOARD MEMBER
921 HILL STREET
JESSUP PA 18434

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 JENNIFER ADAMS-BURIAN
Signature Title CEO
Signature Date 9/24/2021

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