FORM 1023-EZ for NORTHEAST NEW YORK PROFESSIONAL NURSES ASSOCIATION INC

Field Data
EIN 14-1364938
Case Number EO-2017125-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST NEW YORK PROFESSIONAL NURSES ASSOCIATION INC
Organization’s Mailing Address 14 IMPERIAL DRIVE
City LOUDONVILLE
State NY
ZIP 12211
Accounting period End 12
Primary contact name JANE FALVO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSEMARIE CASALE
PRESIDENT
3 TAMIAN PASS
BALLSTON LAKE NY 12019

Officer/Director/Trustee Two

JANE FALVO
PRESIDENT ELECT
14 IMPERIAL DR
LOUDONVILLE NY 12211

Officer/Director/Trustee Three

SUSAN BIRKHEAD
1ST VICE PRESIDENT
369 WELLINGTON ROAD
DELMAR NY 12054

Officer/Director/Trustee Four

DIANE BARTOS
2ND VICE PRESIDENT
17 TIMBERWICK DR
CLIFTON PARK NY 12065

Officer/Director/Trustee Five

SANDRA FARMER
BOARD MEMBER
42 WHITNEY ROAD
SARATOGA SPRINGS NY 12866

Organization’s website WWW.NNYPNO.COM
Organization’s email NNYPNO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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