FORM 1023-EZ for 911 MEMORIAL OF BALLSTON SPA INC

Field Data
EIN 81-3630515
Case Number EO-2016272-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 911 MEMORIAL OF BALLSTON SPA INC
Organization’s Mailing Address 401 MILTON AVE
City BALLSTON SPA
State NY
ZIP 12020
Accounting period End 8
Primary contact name LINDA DOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER CHAMPAGNE
PRESIDENT
101 MCLEAN ST
BALLSTON SPA NY 12020

Officer/Director/Trustee Two

LINDA DOYLE
TREASURER
401 MILTON AVE
BALLSTON SPA NY 12020

Officer/Director/Trustee Three

WILLIAM MOHR
SECRETARY
197 CHURCH AVE
BALLSTON SPA NY 12020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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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