FORM 1023-EZ for NYSPWHC INC

Field Data
EIN 81-3094131
Case Number EO-2016256-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NYSPWHC INC
Organization’s Mailing Address 3593 PATCHETT RD
City BALDWINSVILLE
State NY
ZIP 13027
Accounting period End 12
Primary contact name NANCY FOOTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE EASTMAN
DIRECTOR
2769 CLUTE RD
CORTLAND NY 13045

Officer/Director/Trustee Two

ELISSA SAWYER
DIRECTOR
8621 BROWN RD
SHERBURNE NY 13406

Officer/Director/Trustee Three

MARY BILL
DIRECTOR
3593 PATCHETT RD
BALDWINSVILLE NY 13027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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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