FORM 1023-EZ for NATIONAL ALLIANCE ON MENTAL ILLNESSLUZERNE-WYOMING COUNTIES
| Field | Data |
|---|---|
| EIN | 20-1235627 |
| Case Number | EO-2017011-000316 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NATIONAL ALLIANCE ON MENTAL ILLNESSLUZERNE-WYOMING COUNTIES |
| Organization’s Mailing Address | 100 EAST UNION STREET STE 6 |
| City | WILKES-BARRE |
| State | PA |
| ZIP | 18702 |
| Accounting period End | 12 |
| Primary contact name | MAGEN WASHILEWSKI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MAGEN WASHILEWSKI
EXECUTIVE DIRECTOR
64 CHURCH ROAD
SHICKSHINNY PA 18655
Officer/Director/Trustee Two
PAUL RADZAVICZ
PRESIDENT
600 COLONIAL GARDEN
FORTY-FORT PA 18704
Officer/Director/Trustee Three
JOSEPH FEDAK
VICE PRESIDENT
415 PINE STREET
WARRIOR RUN PA 18706
Officer/Director/Trustee Four
CATHY POLICARE
TREASURER
11 BAINES LANE
DALLAS PA 18612
Officer/Director/Trustee Five
EMILIA POLICARE
SECRETARY
11 BAINES LANE
DALLAS PA 18612
| Organization’s website | |
|---|---|
| Organization’s email | NAMILUZERNEWYOMINGCOUNTY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/29/2016 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F01 - Alliance/Advocacy Organizations |
| 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 | 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 | 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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