FORM 1023-EZ for TOWN OF KENT PBA COMMUNITY FUND INC

Field Data
EIN 82-2053869
Case Number EO-2021155-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOWN OF KENT PBA COMMUNITY FUND INC
Organization’s Mailing Address PO BOX 143
City CARMEL
State NY
ZIP 10512
Accounting period End 12
Primary contact name ALEXANDER VANDERWOUDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDER VANDERWOUDE
DIRECTOR
72 PLEASANT HILL RD
HOPEWELL JUNCTION NY 12533

Officer/Director/Trustee Two

TARA AUSTIN
DIRECTOR
4 BOYNTON DR
POUGHKEEPSIE NY 12603

Officer/Director/Trustee Three

DANIEL HUESTIS
DIRECTOR
58 PINE DR
PAWLING NY 12564

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEXANDER VANDERWOUDE
Signature Title DIRECTOR
Signature Date 6/2/2021
EIN 82-2053869
Case Number EO-2017255-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOWN OF KENT PBA COMMUNITY FUND INC
Organization’s Mailing Address 500 BULLET HOLE ROAD
City MAHOPAC
State NY
ZIP 10541
Accounting period End 12
Primary contact name ALEX VANDERWOUDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX VANDERWOUDE
DIRECTOR
500 BULLET HOLE ROAD
MAHOPAC NY 10541

Officer/Director/Trustee Two

TARA AUSTIN
DIRECTOR
4 BOYNTON DRIVE
POUGHKEEPSIE NY 12603

Officer/Director/Trustee Three

DANIEL HUESTIS
DIRECTOR
58 PINE DRIVE
PAWLING NY 12564

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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