FORM 1023-EZ for CENTRAL PENNSYLVANIA MUSIC HALL OFFAME INC

Field Data
EIN 83-4303042
Case Number EO-2021089-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL PENNSYLVANIA MUSIC HALL OFFAME INC
Organization’s Mailing Address PO BOX 172
City HUMMELSTOWN
State PA
ZIP 17036
Accounting period End 3
Primary contact name BRANDON VALENTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON VALENTINE
PRESIDENT, DIRECTOR
33 SWEET ARROW DR
HUMMELSTOWN PA 17036

Officer/Director/Trustee Two

HOLLY SERIO
SECRETARY, DIRECTOR
42 BARTLETT CIR
PALMYRA PA 17078

Officer/Director/Trustee Three

DEREK EUSTON
TREASURER, DIRECTOR
6405 DUBLIN RD
HARRISBURG PA 17111

Officer/Director/Trustee Four

PAUL RAU
DIRECTOR
606 IRON SPRING RD
HUMMELSTON PA 17036

Officer/Director/Trustee Five

MORGAN STAMBAUGH
DIRECTOR
725 GREENTREE RD
ELIZABETHTOWN PA 17022

Organization’s website WWW.CPMHOF.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2019
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: 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 No
Correctness Declaration Yes
Signature Name BRANDON VALENTINE
Signature Title PRESIDENT, DIRECTOR
Signature Date 2/12/2021

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