FORM 1023-EZ for BLACK CREEK WATERSHED COALITION INC

Field Data
EIN 46-4876126
Case Number EO-2015051-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK CREEK WATERSHED COALITION INC
Organization’s Mailing Address 29 LIBERTY STREET SUITE 3
City BATAVIA
State NY
ZIP 14020
Accounting period End 12
Primary contact name LYLE WARREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAWRENCE VERWEIRE
DIRECTOR
6070 BUFFALO ROAD
CHURCHVILLE NY 14428

Officer/Director/Trustee Two

DOROTHY BORGUS
DIRECTOR AND CHAIR
31 STUART ROAD
CHURCHVILLE NY 14428

Officer/Director/Trustee Three

LYLE WARREN
DIRECTOR AND TREASURER
21 HUTTON CIRCLE
CHURCHVILLE NY 14428

Organization’s website WWW.BLACKCREEKWATERSHED.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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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