FORM 1023-EZ for ANDOVER FREE LIBRARY

Field Data
EIN 22-2635731
Case Number EO-2016337-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDOVER FREE LIBRARY
Organization’s Mailing Address PO BOX 745
City ANDOVER
State NY
ZIP 14806-0745
Accounting period End 12
Primary contact name JAMIE COYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA HILLIARD
DIRECTOR
18 BARNEY STREET
ANDOVER NY 14806

Officer/Director/Trustee Two

FRANK RUSSELL
PRESIDENT OF BOARD
STATE ROUTE 21
ANDOVER NY 14806

Officer/Director/Trustee Three

LOIS HELVESTON
VICE PRESIDENT OF BOARD
2000 JONES ROAD
ANDOVER NY 14806

Officer/Director/Trustee Four

CARRIE WALKER
TREASURER
GREENWOOD STREET
ANDOVER NY 14806

Officer/Director/Trustee Five

KELLI NIEDERMAIER
SECRETARY
199 EVERMAN ROAD
ANDOVER NY 14806

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/1904
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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