FORM 1023-EZ for JORDYN TORREY AUGELLO MEMORIAL FOUNDATION

Field Data
EIN 85-0836228
Case Number EO-2020195-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JORDYN TORREY AUGELLO MEMORIAL FOUNDATION
Organization’s Mailing Address 27 S MAIN ST
City ELBA
State NY
ZIP 14058
Accounting period End 12
Primary contact name MOLLY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS TORREY
PRESIDENT
6873 NORTON ROAD
ELBA NY 14058

Officer/Director/Trustee Two

MAXWELL TORREY
VICE PRESIDENT
PO BOX 65
ELBA NY 14058

Officer/Director/Trustee Three

MOLLY ANDERSON
TREASURER
27 SOUTH MAIN STREET
ELBA NY 14058

Officer/Director/Trustee Four

SHANNON KYLE
SCRETARY
3872 HOGMIRE ROAD
AVON NY 14414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 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 MOLLY ANDERSON
Signature Title TREASURER
Signature Date 7/9/2020

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