FORM 1023-EZ for PAT DAWSON MEMORIAL FOUNDATION INCORPORATED

Field Data
EIN 83-2231612
Case Number EO-2018298-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAT DAWSON MEMORIAL FOUNDATION INCORPORATED
Organization’s Mailing Address 4898 CAMPBELLS RUN RD SUITE 3
City PITTSBURGH
State PA
ZIP 15205
Accounting period End 12
Primary contact name GREGORY DIULUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN GRECO
PRESIDENT
5453 ROSALIND BLVD
POWELL OH 43065

Officer/Director/Trustee Two

GREGORY DIULUS
VICE PRESIDENT
4898 CAMPBELLS RUN RD SUITE 3
PITTSBURGH PA 15205

Officer/Director/Trustee Three

NA NA
NA
NA
NA PA 15205

Officer/Director/Trustee Four

NA NA
NA
NA
NA PA 15205

Officer/Director/Trustee Five

NA NA
NA
NA
NA PA 15205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/18
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GREGORY DIULUS
Signature Title VICE PRESIDENT
Signature Date 10/23/18

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