FORM 1023-EZ for TOWN OF CHAUTAUQUA HOMETOWN HEROESVETERANS PARK INC

Field Data
EIN 83-3095104
Case Number EO-2019044-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOWN OF CHAUTAUQUA HOMETOWN HEROESVETERANS PARK INC
Organization’s Mailing Address P O BOX 102
City MAYVILLE
State NY
ZIP 14757
Accounting period End 12
Primary contact name THOMAS F JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JORDAN
TREASURER
6 SPRUCE DRIVE P O BOX 48
MAYVILLE NY 14757-48

Officer/Director/Trustee Two

JAMES THOMAS
PRESIDENT
10 MEMORIAL DRIVE
MAYVILLE NY 14757

Officer/Director/Trustee Three

SANDRALEE WAGNER
SECRETARY
70 LAKEVIEW ROAD
MAYVILLE NY 14757

Officer/Director/Trustee Four

STACI BEMUS
VICE-PRESIDENT
2 ACADEMY STREET
MAYVILLE NY 14757

Officer/Director/Trustee Five

CLARA DUNBAR
TRUSTEE
31 ELM STREET
MAYVILLE NY 14757

Organization’s website WWW.FACEBOOK.COM/HHEROCHQ
Organization’s email HHEROCHQ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS JORDAN
Signature Title TREASURER
Signature Date 2/10/19
EIN 83-3095104
Case Number EO-2019044-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOWN OF CHAUTAUQUA HOMETOWN HEROES VETERANS PARK INC
Organization’s Mailing Address P O BOX 102
City MAYVILLE
State NY
ZIP 14757
Accounting period End 12
Primary contact name THOMAS F JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JORDAN
TREASURER
6 SPRUCE DRIVE P O BOX 48
MAYVILLE NY 14757-48

Officer/Director/Trustee Two

JAMES THOMAS
PRESIDENT
10 MEMORIAL DRIVE
MAYVILLE NY 14757

Officer/Director/Trustee Three

SANDRALEE WAGNER
SECRETARY
70 LAKEVIEW ROAD
MAYVILLE NY 14757

Officer/Director/Trustee Four

STACI BEMUS
VICE-PRESIDENT
2 ACADEMY STREET
MAYVILLE NY 14757

Officer/Director/Trustee Five

CLARA DUNBAR
TRUSTEE
31 ELM STREET
MAYVILLE NY 14757

Organization’s website WWW.FACEBOOK.COM/HHEROCHQ
Organization’s email HHEROCHQ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS JORDAN
Signature Title TREASURER
Signature Date 2/10/19

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