FORM 1023-EZ for DOTS COMMUNITY FUND

Field Data
EIN 83-3028147
Case Number EO-2019036-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOTS COMMUNITY FUND
Organization’s Mailing Address 3545 HALIFAX RD
City COPENHAGEN
State NY
ZIP 13626-3527
Accounting period End 4
Primary contact name SCOTT A LAWRENCE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID F GREEN
PRESIDENT
3545 HALIFAX RD
COPENHAGEN NY 13626-3527

Officer/Director/Trustee Two

BRANDI WILSIE
SECRETARY/TREASURER
9 STONE ST
CARTHAGE NY 13619

Officer/Director/Trustee Three

OLIVER COMPO
2ND VICE-PRES
531 JOHN ST
CARTHAGE NY 13619

Officer/Director/Trustee Four

LORIE FARGO
1ST VICE-PRES
34101 SAYRE RD
CARTHAGE NY 13619

Organization’s website N/A
Organization’s email SKBRGREEN@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 DAVID F GREEN
Signature Title PRESIDENT
Signature Date 1/16/19

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