FORM 1023-EZ for GENESIS CORPORATION

Field Data
EIN 81-2380402
Case Number EO-2016118-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENESIS CORPORATION
Organization’s Mailing Address 636 7TH STREET
City PITCAIRN
State PA
ZIP 15140-1209
Accounting period End 12
Primary contact name ALBERT WHITEHEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALBERT WHITEHEAD
PRESIDENT
1770 E LAS OLAS BLVD APT 305
FORT LAUDERDALE FL 33301-2454

Officer/Director/Trustee Two

TAMMY PRATT
SECRETARY/TREASURER
635 8TH STREET
PITCAIRN PA 15140-1212

Officer/Director/Trustee Three

DEIRDRA HAMMOCK
CHAIRPERSON
411 MOWEEN ROAD
SALTSBURG PA 15681-1484

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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