FORM 1023-EZ for NORTHERN COMMUNITY POP WARNER LITTLE SCHOLARS INC

Field Data
EIN 82-1171231
Case Number EO-2017107-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN COMMUNITY POP WARNER LITTLE SCHOLARS INC
Organization’s Mailing Address 9370 STATE ROUTE 5 PO BOX 244
City HOLLAND PATENT
State NY
ZIP 13354
Accounting period End 12
Primary contact name BLAKE YUTZLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE YUTZLER
PRESIDENT
9590 MAIN STREET
REMSEN NY 13438

Officer/Director/Trustee Two

RAY POINTER
VICE PRESIDENT
6795 STATE ROUTE 291
MARCY NY 13403

Officer/Director/Trustee Three

KIM SLATTERY
TREASURER
10354 POWELL ROAD
HOLLAND PATENT NY 13354

Officer/Director/Trustee Four

LISA BRIGGS
SECRETARY
7250 BUNAL DRIVE
ROME NY 13440

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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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