FORM 1023-EZ for TWIN FORKS CHAPTER - NRHS

Field Data
EIN 45-3621869
Case Number EO-2015076-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWIN FORKS CHAPTER - NRHS
Organization’s Mailing Address P O BOX 188
City PORT JEFFERSON STA
State NY
ZIP 11776-0188
Accounting period End 12
Primary contact name RICHARD GORDDARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD GORDDARD
PRESIDENT
P O BOX 188
PORT JEFFERSON STA NY 11776-0188

Officer/Director/Trustee Two

NIEL FELDMAN
VICE PRESIDENT
P O BOX 188
PORT JEFFERSON STA NY 11776-0188

Officer/Director/Trustee Three

GREG KRUSZESKI
SECRETARY
P O BOX 188
PORT JEFFERSON STA NY 11776-0188

Officer/Director/Trustee Four

JOHN THOMPSON
TREASURER
P O BOX 188
PORT JEFFERSON STA NY 11776-0188

Organization’s website WWW.TWINFORKSNRHS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/1999
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B06 -
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 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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