FORM 1023-EZ for TINA KOKEL MEMORIAL SCHOLARSHIP

Field Data
EIN 45-3616796
Case Number EO-2014307-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TINA KOKEL MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 219 WINRIDGE DR
City MOON TOWNSHIP
State PA
ZIP 15108
Accounting period End 12
Primary contact name RYAN JOZWIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RYAN JOZWIAK
PRESIDENT
219 WINRIDGE DR
MOON TOWNSHIP PA 15108

Officer/Director/Trustee Two

MARTIN KOKEL
VICE PRESIDENT
106 HARBOR DR
MCDONALD PA 15057

Officer/Director/Trustee Three

MARY SHIPMAN
TREASURER
1821 RIDGE AVE
CORAOPOLIS PA 15108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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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