FORM 1023-EZ for TABBYS VISION INC

Field Data
EIN 83-3239447
Case Number EO-2019084-000556
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TABBYS VISION INC
Organization’s Mailing Address 312 PLEASANT RIDGE ROAD
City POUGHQUAG
State NY
ZIP 12570
Accounting period End 12
Primary contact name KIMBERLY SCORALICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN SCORALICK
PRESIDENT AND DIRECTOR
312 PLEASANT RIDGE ROAD
POUGHQUAG NY 12570

Officer/Director/Trustee Two

KIMBERLY SCORALICK
CEO AND DIRECTOR
312 PLEASANT RIDGE ROAD
POUGHQUAG NY 12570

Officer/Director/Trustee Three

SHIREEN GILBERT
TREASURER AND DIRECTOR
55 CAROL LANE
POUGHQUAG NY 12570

Officer/Director/Trustee Four

MATTHEW FITZGERALD
CHAIRPERSON AND DIRECTOR
54 RIDGEMONT DRIVE
HOPEWELL JUNCTION NY 12533

Officer/Director/Trustee Five

AMY HARRIS
SECRETARY AND DIRECTOR
365 PLEASANT RIDGE ROAD
POUGHQUAG NY 12570

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P86 - Blind/Visually Impaired Centers, Services
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 KIMBERLY SCORALICK
Signature Title CEO AND DIRECTOR
Signature Date 3/22/19

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