FORM 1023-EZ for CITY OF SHAMOKIN NEIGHBORHOOD CRIMEWATCH INC

Field Data
EIN 47-3062867
Case Number EO-2015208-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITY OF SHAMOKIN NEIGHBORHOOD CRIMEWATCH INC
Organization’s Mailing Address 205 S 6TH ST
City SHAMOKIN
State PA
ZIP 17872-5727
Accounting period End 12
Primary contact name RICHARD FOWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD FOWLER
PRESIDENT
205 S 6TH ST
SHAMOKIN PA 17872

Officer/Director/Trustee Two

SUSAN BELLES
VICE PRESIDENT
14 N 7TH ST
SHAMOKIN PA 17872

Officer/Director/Trustee Three

BRENDA SCANDLE
TREASURER
136 S MARKET ST
SHAMOKIN PA 17872

Officer/Director/Trustee Four

MARY DEIBLER
SECRETARY
127 N GRANT ST
SHAMOKIN PA 17872

Officer/Director/Trustee Five

RAYMOND SIKO
LIAISON OFFICER
515 WEBSTER ST
RANSHAW PA 17866

Organization’s website WWW.SHAMOKINWATCH.ORG
Organization’s email CRIMEWATCH@SHAMOKINWATCH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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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