FORM 1023-EZ for MOUNTAINVILLE MEMORIAL ASSOCIATIONINC

Field Data
EIN 71-0900448
Case Number EO-2019084-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAINVILLE MEMORIAL ASSOCIATIONINC
Organization’s Mailing Address 1814 S 5TH ST
City ALLENTOWN
State PA
ZIP 18103
Accounting period End 12
Primary contact name JESSICA FRENCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA FRENCH
CO-PRESIDENT
759 MOHAWK ST
ALLENTOWN PA 18103

Officer/Director/Trustee Two

RUSSEL FICK
CO-PRESIDENT
758 S HALL ST
ALLENTOWN PA 18103

Officer/Director/Trustee Three

PETER ALLEN GLASGOW
VICE- PRESIDENT
PO BOX 1007
ALLENTOWN PA 18105

Officer/Director/Trustee Four

NICOLE GILLEO
SECRETARY
419 N 9TH ST APT 3
ALLENTOWN PA 18102

Organization’s website WWW.MOUNTAINVILLEMEMORIAL.COM
Organization’s email MOUNTAINVILLEMEMORIAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/64
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JESSICA FRENCH
Signature Title PRESIDENT
Signature Date 3/21/19
EIN 71-0900448
Case Number EO-2019084-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAINVILLE MEMORIAL ASSOCIATION INC
Organization’s Mailing Address 1814 S 5TH ST
City ALLENTOWN
State PA
ZIP 18103
Accounting period End 12
Primary contact name JESSICA FRENCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA FRENCH
CO-PRESIDENT
759 MOHAWK ST
ALLENTOWN PA 18103

Officer/Director/Trustee Two

RUSSEL FICK
CO-PRESIDENT
758 S HALL ST
ALLENTOWN PA 18103

Officer/Director/Trustee Three

PETER ALLEN GLASGOW
VICE- PRESIDENT
PO BOX 1007
ALLENTOWN PA 18105

Officer/Director/Trustee Four

NICOLE GILLEO
SECRETARY
419 N 9TH ST APT 3
ALLENTOWN PA 18102

Organization’s website WWW.MOUNTAINVILLEMEMORIAL.COM
Organization’s email MOUNTAINVILLEMEMORIAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/64
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JESSICA FRENCH
Signature Title PRESIDENT
Signature Date 3/21/19

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