FORM 1023-EZ for PURE VISION FOUNDATION INC

Field Data
EIN 46-4156867
Case Number EO-2015099-000542
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURE VISION FOUNDATION INC
Organization’s Mailing Address PO BOX 721
City STONE RIDGE
State NY
ZIP 12484-0721
Accounting period End 12
Primary contact name LEONARD EASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELINA BIRNEY
PRESIDENT DIRECTOR
PO BOX 481
HIGH FALLS NY 12440-0481

Officer/Director/Trustee Two

LAWRENCE BIRNEY
TREASURER DIRECTOR
PO BOX 481
HIGH FALLS NY 12440-0481

Officer/Director/Trustee Three

JOHN GRAZIANO
SECRETARY DIRECTOR
6 BROOKS AVENUE
MONROE NY 10950-3602

Officer/Director/Trustee Four

LEONARD EASTER
ASSISTANT SECRETARY
29 ABRUYN STREET
KINGSTON NY 12401-5603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development 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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