FORM 1023-EZ for GRATEFUL VILLAGES

Field Data
EIN 81-5420946
Case Number EO-2017055-000642
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRATEFUL VILLAGES
Organization’s Mailing Address 465 CENTRAL AVE
City ALBANY
State NY
ZIP 12206
Accounting period End 12
Primary contact name JODI SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY SHELDON
DIRECTOR
159 DELAWARE AVE
DELMAR NY 12159

Officer/Director/Trustee Two

MARK FARBER FARBER
TREASURER
352 QUAIL ST
ALBANY NY 12208

Officer/Director/Trustee Three

JODI SCOTT
SECRATARY
568 DELAWARE AVE
ALBANY NY 12209

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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