FORM 1023-EZ for LYME WNY

Field Data
EIN 81-4609502
Case Number EO-2017215-000182
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LYME WNY
Organization’s Mailing Address 450 BULLIS ROAD
City WEST SENECA
State NY
ZIP 14224
Accounting period End 12
Primary contact name REBECCA ROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA ROLL
PRESIDENT
450 BULLIS ROAD
WEST SENECA NY 14224

Officer/Director/Trustee Two

AMY MCFARLAND
TREASURER
4273 ABBOTT PARKWAY
BLASDELL NY 14219

Officer/Director/Trustee Three

PATRICIA REGAN
CO-CHAIR
116 SPRUCEWOOD
CHEEKTOWAGA NY 14227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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 Yes
One Third Support Gifts No
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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