FORM 1023-EZ for NORTH EAST STAFFORDSHIRE BULL TERRIER CLUB INC

Field Data
EIN 26-1664420
Case Number EO-2015176-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH EAST STAFFORDSHIRE BULL TERRIER CLUB INC
Organization’s Mailing Address 245 WINDWARD DR
City PORT JEFFERSON
State NY
ZIP 11777
Accounting period End 12
Primary contact name PAUL WICKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN DIAZ
PRESIDENT
299 BELLEVILLE AVE 1ST FLOOR
BLOOMFIELD NJ 07003

Officer/Director/Trustee Two

PAUL WICKEL
TREASURER
245 WINDWARD DR
PORT JEFFERSON NY 11777

Officer/Director/Trustee Three

ANTHONY ROJAS
SECRETARY
569 EAST MEADOW AVE
EAST MEADOW NY 11554

Officer/Director/Trustee Four

JAMIE SHEEHAN
DIRECTOR
1525 84TH ST
BROOKLYN NY 11228

Officer/Director/Trustee Five

LAUR WICKEL
DIRECTOR
245 WINDWARD DR
PORT JEFFERSON NY 11777

Organization’s website
Organization’s email PAULWICKELINSURANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2007
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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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