FORM 1023-EZ for CENTRAL NEW YORK DISABILITY MENTORING DAY INC

Field Data
EIN 84-2264773
Case Number EO-2019191-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL NEW YORK DISABILITY MENTORING DAY INC
Organization’s Mailing Address 3774 STATE ROUTE 31
City LIVERPOOL
State NY
ZIP 13090
Accounting period End 12
Primary contact name COLLEEN CRISELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARLETTA HOLMAN
BOARD MEMBER
1330 EAST WASHINGTON STREET
SYRACUSE NY 13210

Officer/Director/Trustee Two

CHET WILK
BOARD MEMBER
420 EAST GENESEE STREET
SYRACUSE NY 13202

Officer/Director/Trustee Three

MATTHRE HORAN
BOARD MEMBER
4585 WEST SENECA TURNPIKE
SYRACUSE NY 13215

Officer/Director/Trustee Four

COLLEEN CRISELL
BOARD MEMBER
3774 ROUTE 31
LIVERPOOL NY 13090

Organization’s website HTTPS://DISABILITYMENTORINGDAY.ORG/
Organization’s email INFO@DISABILITYMENTORINGDAY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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 COLLEEN CRISELL
Signature Title BOARD MEMBER
Signature Date 7/8/19

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