FORM 1023-EZ for MOMENTUM COMMUNITY WELLNES INC

Field Data
EIN 35-2554922
Case Number EO-2016211-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMENTUM COMMUNITY WELLNES INC
Organization’s Mailing Address 505 ROBERTS STREET
City UTICA
State NY
ZIP 13502
Accounting period End 12
Primary contact name RAYMOND ALESSANDRINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND ALESSANDRINI
SECRETARY
506 MANDEVILLE STREET
UTICA NY 13502

Officer/Director/Trustee Two

RICHARD PANETTA
PRESIDENT
506 MANDEVILLE STREET
UTICA NY 13502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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