FORM 1023-EZ for MINISINK CARES INC

Field Data
EIN 61-1525771
Case Number EO-2016134-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINISINK CARES INC
Organization’s Mailing Address PO BOX 515
City SLATE HILL
State NY
ZIP 10973
Accounting period End 12
Primary contact name LORI A VREELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA A IRWIN
PRESIDENT
PO BOX 235
HUGUENOT NY 12746

Officer/Director/Trustee Two

JUDI ZOLLWEG
VICE PRESIDENT
PO BOX 164
SUMMITVILLE NY 12781

Officer/Director/Trustee Three

LARANELL JAROSZ
SECRETARY
11 CREEDEN HILL RD
MIDDLETOWN NY 10940

Officer/Director/Trustee Four

LORI A VREELAND
TREASURER
605 MT ORANGE RD
MIDDLETOWN NY 10940

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/1999
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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