FORM 1023-EZ for THE FORSYTH-WARREN TAVERN LIVING HISTORY FARM AND MUSEUM
| Field | Data |
|---|---|
| EIN | 85-3731151 |
| Case Number | EO-2021032-000112 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE FORSYTH-WARREN TAVERN LIVING HISTORY FARM AND MUSEUM |
| Organization’s Mailing Address | 5182 RIDGE ROAD |
| City | LOCKPORT |
| State | NY |
| ZIP | 14094 |
| Accounting period End | 12 |
| Primary contact name | TYLER J BOOTH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TYLER BOOTH
DIRECTOR
3037 LOWER MOUNTAIN ROAD
SANBORN NY 14132
Officer/Director/Trustee Two
VIRGINIA FERCHEN
TREASURER
5166 RIDGE ROAD
LOCKPORT NY 14094
Officer/Director/Trustee Three
JOHNATHAN NEWMAN
CHAIRPERSON
3037 LOWER MOUNTAIN ROAD
SANBORN NY 14132
Officer/Director/Trustee Four
BETHANN FLYNN
SECRETARY
6 GREY BURCH COURT
EAST AMHERST NY 14051
Officer/Director/Trustee Five
CHRISTOPHER PARADA
TRUSTEE
80 GRASMERE ROAD
LOCKPORT NY 14094
| Organization’s website | HTTPS://WWW.FORSYTHTAVERN.COM |
|---|---|
| Organization’s email | THEFORSYTHTAVERN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/19/2020 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A50 - Museum, Museum Activities |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | No |
| 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 | TYLER BOOTH |
| Signature Title | DIRECTOR |
| Signature Date | 12/8/2020 |
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