FORM 1023-EZ for PROM FAIRY FOUNDATION INC

Field Data
EIN 46-4366836
Case Number EO-2014324-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROM FAIRY FOUNDATION INC
Organization’s Mailing Address 85 MAIN STREET
City STONY BROOK
State NY
ZIP 11776
Accounting period End 11
Primary contact name HASMIK BUZZETTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

OLGA BELLEAU
TREASURER
1 ST GEORGE GLEN DRIVE
SETAUKET NY 11733

Officer/Director/Trustee Two

ARTUR TADEVOSYAN
ASST TREASURER
12 CEDAR STREET
STONY BROOK NY 11790

Officer/Director/Trustee Three

HASMIK BUZZETTA
CHAIRMAN
2 SOUNDVIEW COURT
STONY BROOK NY 11790

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A19 - Nonmonetary Support N.E.C.*
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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