FORM 1023-EZ for HARLEYSVILLE JC CORP

Field Data
EIN 47-2956372
Case Number EO-2015042-000030
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARLEYSVILLE JC CORP
Organization’s Mailing Address P O BOX 298
City HARLEYSVILLE
State PA
ZIP 19438-0298
Accounting period End 12
Primary contact name THOMAS KLAUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN HEWLETT
PRESIDENT
P O BOX 298
HARLEYSVILLE PA 19438-0298

Officer/Director/Trustee Two

JAMES HOPE
VICE PRESIDENT
P O BOX 298
HARLEYSVILLE PA 19438-0298

Officer/Director/Trustee Three

JOHN BOUGHTER
SECRETARY
P O BOX 298
HARLEYSVILLE PA 19438-0298

Officer/Director/Trustee Four

SHAWN LEO
TREASURER
P O BOX 298
HARLEYSVILLE PA 19438-0298

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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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