FORM 1023-EZ for BENS WISH FOUNDATION INC

Field Data
EIN 81-4798197
Case Number EO-2016365-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENS WISH FOUNDATION INC
Organization’s Mailing Address 212 SPLIT ROCK DRIVE
City DELTA
State PA
ZIP 17314
Accounting period End 12
Primary contact name KIMBERLY DENTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY DENTON
PRESIDENT DIRECTOR
212 SPLIT ROCK DRIVE
DELTA PA 17314

Officer/Director/Trustee Two

JENNIFER DIALINOS
SECRETARY TREASURER
2024 SCHUSTER RD
JARRETTSVILLE MD 21084

Officer/Director/Trustee Three

MARIA ZELL
DIRECTOR
355 QUARRY ROAD
DELTA PA 17314

Officer/Director/Trustee Four

HEATHER FITZPATRICK
DIRECTOR
704 HUMBERT SCHOOL HOUSE RD
WESTMINISTER MD 21158

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 Yes
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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