FORM 1023-EZ for ST SERAPION S OUTREACH

Field Data
EIN 84-3366572
Case Number EO-2019312-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST SERAPION S OUTREACH
Organization’s Mailing Address 44 LAKE STREET
City LE ROY
State NY
ZIP 14482
Accounting period End 10
Primary contact name DAVID PISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID PISER
DIRECTOR
49 LAKE STREET
LE ROY NY 14482

Officer/Director/Trustee Two

MATTHEW PHALEN
DIRECTOR
44 LAKE STREET
LE ROY NY 14482

Officer/Director/Trustee Three

GEORGE GABISON
DIRECTOR
15126 KOURY DRIVE
HACIENDA HEIGHTS CA 91745

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/19
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 DAVID PISER
Signature Title DIRECTOR
Signature Date 11/6/19

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