| Field | Data |
|---|---|
| EIN | 36-4732103 |
| Case Number | EO-2016201-000519 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CHAUTAUQUA COUNTY SAMARITAN HOUSE INC |
| Organization’s Mailing Address | 2 EAST AVENUE |
| City | SINCLAIRVILLE |
| State | NY |
| ZIP | 14782 |
| Accounting period End | 12 |
| Primary contact name | MAUREEN SCHAFER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MICHELLE WATERMAN
BOD
61 COLLINS STREET
JAMESTOWN NY 14701
AIMEE MCCRADY
BOD
10 EAST COURTNEY STREET
DUNKIRK NY 14048
SCOTT DIBBLE
BOD
7805 BARNUM ROAD
CASSADAGA NY 14718
LINDA ALFIERI
BOD
221 CHERRY STREET
JAMESTOWN NY 14701
MAUREEN SCHAFER
BOD
7415 ROUTE 380
STOCKTON NY 14784
| Organization’s website | WWW.SAMARITANHOUSE.US |
|---|---|
| Organization’s email | SAMARITANHOUSE.SINCLAIRVILLE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/10/2012 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P29 - Thrift Shops |
| Organization’s purpose | Charitable: Yes Religious: Yes 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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