FORM 1023-EZ for MILES AGAINST MELANOMA HARRISBURG PA

Field Data
EIN 47-3674910
Case Number EO-2016097-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILES AGAINST MELANOMA HARRISBURG PA
Organization’s Mailing Address 840 DARTMOUTH ST APT B351
City HARRISBURG
State PA
ZIP 17109
Accounting period End 12
Primary contact name LOIS HENGST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOIS HENGST
EXECUTIVE DIRECTOR
840 DARTMOUTH ST APT B351
HARRISBURG PA 17109

Officer/Director/Trustee Two

COURTNAY MCKEAL
SECRETARY
4088 CYPRESS RD APT E
HARRISBURG PA 17112

Organization’s website WWW.MAMHBGPA.ORG
Organization’s email MAMHBGPA@GMAIL.COM
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 E12 - Fund Raising and/or Fund 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 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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