FORM 1023-EZ for RIDE 2 SURVIVE - SULLIVAN COUNTY INC

Field Data
EIN 46-4594004
Case Number EO-2014256-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIDE 2 SURVIVE - SULLIVAN COUNTY INC
Organization’s Mailing Address 1757 SHANDELEE ROAD PO BOX 282
City YOUNGSVILLE
State NY
ZIP 12791-0282
Accounting period End 12
Primary contact name JOE ANNE BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GLORIANNE ELLISON
PRESIDENT
1757 SHANDELEE ROAD
YOUNGSVILLE NY 12791

Officer/Director/Trustee Two

KARA PASSANTE
VICE PRESIDENT
340 GOLDSMITH ROAD
JEFFERSONVILLE NY 12748

Officer/Director/Trustee Three

KATHLEEN ANN WELTON
SECRETARY
297 BEHR ROAD
JEFFERSONVILLE NY 12748

Officer/Director/Trustee Four

JOE ANNE BAKER
TREASURER
1744 SHANDELEE ROAD
YOUNGSVILLE NY 12791

Officer/Director/Trustee Five

REGINA WAGNER
DIRECTOR
17 EGGLER ROAD
JEFFERSONVILLE NY 12754

Organization’s website WWW.RIDE2SURVIVESULLIVANCOUNTY.ORG
Organization’s email JBAKER18@HVC.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2014
Organization Incorporation State NY
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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