FORM 1023-EZ for FULTON COUNTY NY PUBLIC SAFETY FOUNDATION INC

Field Data
EIN 47-4484412
Case Number EO-2015342-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FULTON COUNTY NY PUBLIC SAFETY FOUNDATION INC
Organization’s Mailing Address PO BOX 99 191 KUNKELPOINT ROAD
City MAYFIELD
State NY
ZIP 12117
Accounting period End 12
Primary contact name RICHARD GIARDINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD GIARDINO
INTERIM CHAIRMAN
191 KUNKEL POINT ROAD
MAYFIELD NY 12117

Officer/Director/Trustee Two

DEBORAH KOMAR
VICE CHAIR
116 UNION MILLS ROAD
BROADALBIN NY 12025

Officer/Director/Trustee Three

ZACH TABOR
TREASURER
33 WEST MAIN STREET
MAYFIELD NY 12117

Officer/Director/Trustee Four

JOHN CAREY
SECRETARY
12 BIGELOW AVENUE
AMSTERDAM NY 12010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L60 -
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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