FORM 1023-EZ for UNITED VILLAGE FOUNDATION INC

Field Data
EIN 81-4064130
Case Number EO-2016319-000668
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED VILLAGE FOUNDATION INC
Organization’s Mailing Address 9 TRINITY WAY
City LAGRANGEVILLE
State NY
ZIP 12540
Accounting period End 12
Primary contact name ROLANDE THELOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLANDE THELOT
PRESIDENT / DIRECTOR
9 TRINITY WAY
LAGRANGEVILLE NY 12540

Officer/Director/Trustee Two

JOAB THELOT
TREASURE/DIRECTOR
9 TRINITY WAY
LAGRANGEVILLE NY 12540

Officer/Director/Trustee Three

ADELINE BRICE
TREASURER/DIRECTOR
9 TRINITY WAY
LAGRANGEVILLE NY 12540

Organization’s website
Organization’s email THELOTSARTANA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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