FORM 1023-EZ for CHICK HENNING MEMORIAL FOUNDATION

Field Data
EIN 47-3860094
Case Number EO-2015131-000369
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICK HENNING MEMORIAL FOUNDATION
Organization’s Mailing Address 963 MASTERS WAY
City HARLEYSVILLE
State PA
ZIP 19438
Accounting period End 12
Primary contact name PETER HENNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUG HENNING
PRESIDENT
963 MASTERS WAY
HARLEYSVILLE PA 19438

Officer/Director/Trustee Two

MARTIN MILLER
VICE PRESIDENT
365 BUCKINGHAM CIRCLE
HARLEYSVILLE PA 19438

Officer/Director/Trustee Three

PETER HENNING
TREASURER
496 HOFFMAN ROAD
HARLEYSVILLE PA 19438

Organization’s website
Organization’s email PETE.HENNING@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 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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