FORM 1023-EZ for INSOURCING

Field Data
EIN 26-0512900
Case Number EO-2016085-000516
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INSOURCING
Organization’s Mailing Address 4451 CHERRY VALLEY TURNPIKE
City LAFAYETTE
State NY
ZIP 13084
Accounting period End 12
Primary contact name BOB HERZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT HERZ
PRESIDENT
4451 CHERRY VALLEY TURNPIKE
LAFAYETTE NY 13084

Officer/Director/Trustee Two

BOB SPRAGUE
TREASURER
2085 FITZGERALD POINT
MARIETTA NY 13110

Officer/Director/Trustee Three

CRAIG WATTERS
TRUSTEE
SPEARS SCHOOL OF BUSINESS
STILLWATER OK 74078

Officer/Director/Trustee Four

THOMAS KRUCZAK
TRUSTEE
NOTRE DAME COLLEGE - 4545 COLLEGE R
SOUTH EUCLID OH 44121

Officer/Director/Trustee Five

STACEY LARSON
TRUSTEE
213 LYNNHAVEN DR
SYRACUSE NY 13212

Organization’s website
Organization’s email BOBHERZ11@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2007
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 Yes
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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