FORM 1023-EZ for MOUNT PLEASANT FALLEN OFFICER DAN ZILLI MEMORIAL FUND INC

Field Data
EIN 82-2022449
Case Number EO-2017212-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT PLEASANT FALLEN OFFICER DAN ZILLI MEMORIAL FUND INC
Organization’s Mailing Address 148 SWEITZER ROAD
City MOUNT PLEASANT
State PA
ZIP 15666-2331
Accounting period End 12
Primary contact name SUSAN DIETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON DIETER
PRESIDENT
148 SWEITZER ROAD
MOUNT PLEASANT PA 15666-2331

Officer/Director/Trustee Two

SUSAN DIETER
TREASURER
148 SWEITZER ROAD
MOUNT PLEASANT PA 15666-2331

Officer/Director/Trustee Three

HEIDI CHOLOCK
SECRETARY
308 NORTH CHURCH STREET
MOUNT PLEASANT PA 15666-1237

Officer/Director/Trustee Four

CORENE MUMAU
TRUSTEE
1133 BROOKSIDE DRIVE
GREENSBURG PA 15601-5608

Officer/Director/Trustee Five

RICHARD CHOLOCK
TRUSTEE
308 NORTH CHURCH STREET
MOUNT PLEASANT PA 15666-1237

Organization’s website
Organization’s email ZIL.MEMORIAL.RUN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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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