FORM 1023-EZ for PENNSYLVANIA VOLUNTEERS INC

Field Data
EIN 82-0853013
Case Number EO-2017093-000438
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENNSYLVANIA VOLUNTEERS INC
Organization’s Mailing Address 114 SUMMIT ROAD
City BUTLER
State PA
ZIP 16001
Accounting period End 12
Primary contact name RICHARD WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEN BAKER
PRESIDENT
6130 WISE ROAD
HERMITAGE PA 16148

Officer/Director/Trustee Two

RICHARD WILSON
VICE PRESIDENT
114 SUMMIT ROAD
BUTLER PA 16001

Officer/Director/Trustee Three

MARCUS KOHAN
CHAIRMAN
158 VETERANS ROAD
MERCER PA 16137

Organization’s website
Organization’s email RICH@PAVOLUNTEERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
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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