FORM 1023-EZ for MERISSA L FRYE SMALL CELL CERVICALCANCER MEMORIAL FOUNDATION

Field Data
EIN 83-0941865
Case Number EO-2018183-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERISSA L FRYE SMALL CELL CERVICALCANCER MEMORIAL FOUNDATION
Organization’s Mailing Address 6508 VERA CRUZ ROAD S
City ZIONSVILLE
State PA
ZIP 18092-2045
Accounting period End 6
Primary contact name HERB FRYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERBERT FRYE
OFFICER
6508 VERA CRUZ ROAD S
ZIONSVILLE PA 18092-2045

Officer/Director/Trustee Two

JAMES FRYE
OFFICER
6508 VERA CRUZ ROAD S
ZIONSVILLE PA 18092-2045

Officer/Director/Trustee Three

NICOLE STERIER
OFFICER
2071 GLEN VIEW DRIVE
BETHLEHEM PA 18015-5665

Officer/Director/Trustee Four

RICK MILL
OFFICER
108 WHITE OAK LANE
EMMAUS PA 18049-4108

Officer/Director/Trustee Five

EDWARD BRENNAN
OFFICER
1435 SCHUYLKILL MOUNTAIN ROAD
SCHUYLKILL HAVEN PA 17972-9146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 EDWARD BRENNAN
Signature Title OFFICER
Signature Date 6/28/18
EIN 83-0941865
Case Number EO-2018183-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERISSA L FRYE SMALL CELL CERVICAL CANCER MEMORIAL FOUNDATION
Organization’s Mailing Address 6508 VERA CRUZ ROAD S
City ZIONSVILLE
State PA
ZIP 18092-2045
Accounting period End 6
Primary contact name HERB FRYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERBERT FRYE
OFFICER
6508 VERA CRUZ ROAD S
ZIONSVILLE PA 18092-2045

Officer/Director/Trustee Two

JAMES FRYE
OFFICER
6508 VERA CRUZ ROAD S
ZIONSVILLE PA 18092-2045

Officer/Director/Trustee Three

NICOLE STERIER
OFFICER
2071 GLEN VIEW DRIVE
BETHLEHEM PA 18015-5665

Officer/Director/Trustee Four

RICK MILL
OFFICER
108 WHITE OAK LANE
EMMAUS PA 18049-4108

Officer/Director/Trustee Five

EDWARD BRENNAN
OFFICER
1435 SCHUYLKILL MOUNTAIN ROAD
SCHUYLKILL HAVEN PA 17972-9146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 EDWARD BRENNAN
Signature Title OFFICER
Signature Date 6/28/18

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