FORM 1023-EZ for NMB FOUNDATION INC

Field Data
EIN 81-1726254
Case Number EO-2016090-000520
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NMB FOUNDATION INC
Organization’s Mailing Address 167 BRIARHURST ROAD
City WILLIAMSVILLE
State NY
ZIP 14221-3432
Accounting period End 12
Primary contact name KIMBERLY BURCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TJ BURCH
DIRECTOR AND CHAIR
167 BRIARHURST ROAD
WILLIAMSVILLE NY 14221-3432

Officer/Director/Trustee Two

KIMBERLY BURCH
DIRECTOR AND VICE CHAIR
167 BRIARHURST ROAD
WILLIAMSVILLE NY 14221-3432

Officer/Director/Trustee Three

PATRICIA FLAHERTY
DIRECTOR AND TREASURER
109 CHATHAM AVENUE
BUFFALO NY 14216-3138

Officer/Director/Trustee Four

KELLY REHAK
DIRECTOR AND SECRETARY
71 THE COMMON
WILLIAMSVILLE NY 14221-5818

Officer/Director/Trustee Five

SAM CAMPANELLI
DIRECTOR
40 BRIAN AVENUE
WILLIAMSVILLE NY 14221-3810

Organization’s website NMBFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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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