FORM 1023-EZ for CORNELL SOBER HOUSING INC

Field Data
EIN 81-1845327
Case Number EO-2016172-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CORNELL SOBER HOUSING INC
Organization’s Mailing Address 411 N TIOGA ST
City ITHACA
State NY
ZIP 14850-4228
Accounting period End 12
Primary contact name CHARLES GUTTMAN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LENA RANSOHOFF
DIRECTOR
103 MCGRAW PLACE
ITHACA NY 14850-3922

Officer/Director/Trustee Two

GRANT JARDINE
DIRECTOR
122 WAIT AVE
ITHACA NY 14850-2436

Officer/Director/Trustee Three

SHAWN MEYER
DIRECTOR
140 SENECA WAY
ITHACA NY 14850-4396

Officer/Director/Trustee Four

MAGDELINE LABA
DIRECTOR/TREASURER
1947 SLATERVILLE RD
ITHACA NY 14850-6362

Organization’s website HTTP://ORGSYNC.RSO.CORNELL.EDU/ORG/SOBERATCORNELL/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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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