FORM 1023-EZ for HUMBLE BUMBLE PROJECT INC

Field Data
EIN 83-0986765
Case Number EO-2018194-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMBLE BUMBLE PROJECT INC
Organization’s Mailing Address 12028 ROUTE 287
City MIDDLEBURY CENTER
State PA
ZIP 16935
Accounting period End 12
Primary contact name MICHELE GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE GRIFFIN
DIRECTOR - PRESIDENT
12028 ROUTE 287
MIDDLEBURY CENTER PA 16935

Officer/Director/Trustee Two

CHASITY KALTENBACH
DIRECTOR - TREASURER
12028 ROUTE 287
MIDDLEBURY CENTER PA 16935

Officer/Director/Trustee Three

JULIANN GOMBOSI
DIRECTOR - VIE PRESIDENT
12028 ROUTE 287
MIDDLEBURY CENTER PA 16935

Officer/Director/Trustee Four

DEBORAH RUDY
DIRECTOR - SECRETARY
12028 ROUTE 287
MIDDLEBURY CENTER PA 16935

Officer/Director/Trustee Five

TERRI PATRICK
DIRECTOR
12028 ROUTE 287
MIDDLEBURY CENTER PA 16935

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
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 MICHELE GRIFFIN
Signature Title DIRECTOR - PRESIDENT
Signature Date 7/11/18

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