FORM 1023-EZ for TEDDY BEAR ARTIST INVITATIONAL INC

Field Data
EIN 45-4365113
Case Number EO-2016239-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEDDY BEAR ARTIST INVITATIONAL INC
Organization’s Mailing Address 4131 STATE ROUTE 9
City PLATTSBURGH
State NY
ZIP 12901-5624
Accounting period End 10
Primary contact name CINDY L MALCHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY MALCHOFF
PRESIDENT
4131 STATE ROUTE 9
PLATTSBURGH NY 12901-5624

Officer/Director/Trustee Two

LAURA MALCHOFF
CO-VICE PRESIDENT
755 DOTTEREL RD APT 1509
DELRAY BEACH FL 33444-2016

Officer/Director/Trustee Three

ALICE FRENCH
CO-VICE PRESIDENT
12291 STATE ROUTE 287
TROUT RUN PA 17771-9229

Officer/Director/Trustee Four

DARLENE ALLEN
SECRETARY
881 RICH DR
OVIEDO FL 32765-8110

Organization’s website
Organization’s email INFO@TBAI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2011
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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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