FORM 1023-EZ for NAMI BERKS COUNTY PA

Field Data
EIN 81-1913011
Case Number EO-2016102-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI BERKS COUNTY PA
Organization’s Mailing Address 640 CENTRE AVENUE
City READING
State PA
ZIP 19601
Accounting period End 6
Primary contact name JACQUELINE MOTYL ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALAN MCDANIEL
PRES., TREAS., DIRECTOR
640 CENTRE AVENUE
READING PA 19601

Officer/Director/Trustee Two

RICHARD GARDNER
VICE PRESIDENT, DIRECTOR
640 CENTRE AVENUE
READING PA 19601

Officer/Director/Trustee Three

MICHELE DUFFY
SECRETARY, DIRECTOR
640 CENTRE AVENUE
READING PA 19601

Officer/Director/Trustee Four

RALPH BAILEY
DIRECTOR
640 CENTRE AVENUE
READING PA 19601

Officer/Director/Trustee Five

LINDA INGRAM
DIRECTOR
640 CENTRE AVENUE
READING PA 19601

Organization’s website WWW.NAMIBERKSPA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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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