FORM 1023-EZ for PLEASANT LAKE WATER SUSTAINABILITY ORGANIZATION

Field Data
EIN 82-4415952
Case Number EO-2018157-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLEASANT LAKE WATER SUSTAINABILITY ORGANIZATION
Organization’s Mailing Address 22929 ALEXANDRIA STREET
City CARTHAGE
State NY
ZIP 13619
Accounting period End 12
Primary contact name DEANNA GENITO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN ASHCRAFT
PRESIDENT
23743 PENNOCK RD
CARTHAGE NY 13619

Officer/Director/Trustee Two

VERN SCOVILLE
VICE PRESIDENT
32641 NYS RT 126
CARTHAGE NY 13619

Officer/Director/Trustee Three

ROXAINA HULBERT
SECRETARY
34278 PLEASANT LAKE DR
CARTHAGE NY 13619

Officer/Director/Trustee Four

DEANNA GENITO
CO-TREASURE
22929 ALEXANDRIA ST
CARTHAGE NY 13619

Officer/Director/Trustee Five

MARY JANE SCOVILLE
CO- TREASURE
32641 NYS RT 126
CARTHAGE NY 13619

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 DEANNA GENITO
Signature Title CO-TREASURE
Signature Date 6/4/18

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