FORM 1023-EZ for EASTERN GREAT LAKES CHAPTER SNMMI INC

Field Data
EIN 16-1432806
Case Number EO-2015194-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EASTERN GREAT LAKES CHAPTER SNMMI INC
Organization’s Mailing Address 105 PARKER HALL 3435 MAIN STREET
City BUFFALO
State NY
ZIP 14214-3007
Accounting period End 12
Primary contact name FRED COVELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALAN KLITZKE MD
PRESIDENT
83 BRYANT ST UNIT 5A
BUFFALO NY 14209-1812

Officer/Director/Trustee Two

SAURABH MALHOTRA MD
SECRETARY TREASURER
875 ELLICOTT STREET
BUFFALO NY 14203-1034

Officer/Director/Trustee Three

JOSHUA REYNOLDS
TECH SECTION PRESIDENT
840 HUMBOLDT PARKWAY
BUFFALO NY 14211-1217

Officer/Director/Trustee Four

FRED COVELLI
ADMINISTRATOR
105 PARKER HALL 3435 MAIN ST
BUFFALO NY 14214-3007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/1992
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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