FORM 1023-EZ for UNSHATTERED INC

Field Data
EIN 81-4627998
Case Number EO-2017054-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNSHATTERED INC
Organization’s Mailing Address 26 COOPERS LANE
City HOPEWELL JUNCTION
State NY
ZIP 10570
Accounting period End 12
Primary contact name RICHARD MAHON ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAT TOOLE
VICE CHAIRPERSON, DIRECTOR
2 BUTTONWOOD LANE
WESTPORT CT 06880-4045

Officer/Director/Trustee Two

BETH GRECO
SECRETARY, TREASURER DIRECTOR
40 WALTER HOVING ROAD
GARRISON NY 10524

Officer/Director/Trustee Three

PAM KING
BOARD CHAIRPERSON, DIRECTOR
624 7TH STREET SW
ROCHESTER MN 55902

Officer/Director/Trustee Four

KELLY LYNDGAARD
PRESIDENT
26 COOPERS LANE
HOPEWELL JUNCTION NY 12533

Organization’s website WWW.UNSHATTERED.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J99 - Employment, Job Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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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