FORM 1023-EZ for FRIENDS OF FORTY INC

Field Data
EIN 46-1842349
Case Number EO-2015033-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF FORTY INC
Organization’s Mailing Address 4888 SUNSET DR
City LOCKPORT
State NY
ZIP 14094
Accounting period End 12
Primary contact name MARK BAUERLEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BAKER CHARLES
PRESIDENT
5061 RIDGE RD
LOCKPORT NY 14094

Officer/Director/Trustee Two

MARK BAUERLEIN
TREASURER
1548 JAMAICA SQUARE
NORTH TONAWANDA NY 14120-1853

Officer/Director/Trustee Three

JOHN SHUBBUCK
DIRECTOR
6421 RIDDLE RD
LOCKPORT NY 14094

Officer/Director/Trustee Four

THOMAS PARKS
VICE PRESIDENT
4090 CARMEN RD
MIDDLE PORT NY 14105

Officer/Director/Trustee Five

TIMOTHY BROUNSCHEIDEL
SECRETARY
4888 SUNSET DR
LOCKPORT NY 14094

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O40 - Scouting Organizations
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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