FORM 1023-EZ for PHYSICIANS AND LAYPERSONS EDUCATIONAL ASSOCIATES OF GREATER ROCHESTER

Field Data
EIN 47-5349590
Case Number EO-2016035-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHYSICIANS AND LAYPERSONS EDUCATIONAL ASSOCIATES OF GREATER ROCHESTER
Organization’s Mailing Address 5 SKYTOP LA
City PITTSFORD
State NY
ZIP 14534
Accounting period End 12
Primary contact name FRANCIS M CELONA CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUGLAS BELTON JR
PRESIDENT DIRECTOR
7 WHITLEY COURT
PITTSFORD NY 14534

Officer/Director/Trustee Two

RUBY BELTON
DIRECTOR
5 SKYTOP LA
PITTSFORD NY 14534

Officer/Director/Trustee Three

TIFFANIE YOUNG
DIRECTOR
117 NORTHGATE DR
CANTON MS 39046

Officer/Director/Trustee Four

ANGELA KALTENBACH
DIRECTOR
3301 WINTON RD S
ROCHESTER NY 14623

Officer/Director/Trustee Five

ROBERTA MILLER
DIRECTOR
1188 POINT BREEZE RD
KENT NY 14477

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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