FORM 1023-EZ for HELDERBERG FAMILY AND COMMUNITY ORGANIZATION INC

Field Data
EIN 83-3150014
Case Number EO-2019037-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELDERBERG FAMILY AND COMMUNITY ORGANIZATION INC
Organization’s Mailing Address 46 BUNNY LN
City ALTAMONT
State NY
ZIP 12009
Accounting period End 12
Primary contact name MARYELLEN GILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARYELLEN GILLIS
PRESIDENT
46 BUNNY LN
KNOX NY 12107

Officer/Director/Trustee Two

CARLI ELBLE
V. PRESIDENT
11 SADDLEMIRE RD
ALTAMONT NY 12009

Officer/Director/Trustee Three

PETER EVANS
TREASURER
395 STREET RD
ALTAMONT NY 12009

Officer/Director/Trustee Four

MARIA DELUCIA-EVANS
COMMUNICATIONS DIRECTOR
395 STREET RD
ALTAMONT NY 12009

Officer/Director/Trustee Five

SARAH PASQUINI
DIRECTOR AT LARGE
359 KNOX-GALLUPVILLE RD
BERNE NY 12023

Organization’s website
Organization’s email HELDERBERGFCO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 MARYELLEN GILLIS
Signature Title DIRECTOR
Signature Date 1/30/19

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