FORM 1023-EZ for WESTERN NEW YORK CHEMICAL DEPENDENCY CONSORTIUM INC

Field Data
EIN 82-0740606
Case Number EO-2018179-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN NEW YORK CHEMICAL DEPENDENCY CONSORTIUM INC
Organization’s Mailing Address 69 LINWOOD AVE
City BUFFALO
State NY
ZIP 14209
Accounting period End 12
Primary contact name ALYSSA GROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW SMITH
CHAIRMAN
69 LINWOOD AVE
BUFFALO NY 14209

Officer/Director/Trustee Two

ELLEN BRESLIN
VICE CHAIR
69 LINWOOD AVE
BUFFALO NY 14209

Officer/Director/Trustee Three

MELANIE WITKOWSKI
SECRETARY
69 LINWOOD AVE
BUFFALO NY 14209

Officer/Director/Trustee Four

WILLIAM PENMAN
TREASURER
69 LINWOOD AVE
BUFFALO NY 14209

Officer/Director/Trustee Five

SCOTT MORTON
DIRECTOR
69 LINWOOD AVE
BUFFALO NY 14209

Organization’s website HTTPS://WWW.WNYCDC.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: Yes
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 MATTHEW SMITH
Signature Title CHAIRMAN
Signature Date 6/26/18

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