FORM 1023-EZ for CARDIACAWARE

Field Data
EIN 82-3409480
Case Number EO-2019065-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARDIACAWARE
Organization’s Mailing Address 1616 GLENBROOK AVENUE
City MOON TOWNSHIP
State PA
ZIP 15108-3026
Accounting period End 12
Primary contact name STEPHEN ENGLERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN ENGLERT
CO-FOUNDER, PRESIDENT, SECRETARY
1616 GLENBROOK AVENUE
MOON TOWNSHIP PA 15108-3026

Officer/Director/Trustee Two

GABE JACKSON
CO-FOUNDER, VICE-PRESIDENT
303 5TH AVENUE
NEW BRIGHTON PA 15066-1733

Officer/Director/Trustee Three

JEFF GILMORE
TREASURER
108 JAROD ROAD
MOON TOWNSHIP PA 15108-1187

Organization’s website WWW.FACEBOOK.COM/CARDIACAWARE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
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: 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 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 STEPHEN ENGLERT
Signature Title CO-FOUNDER, PRESIDENT, SECRETARY
Signature Date 3/4/19

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