FORM 1023-EZ for SYRACUSE ELKS LODGE YOUTH FOUNDATION INC

Field Data
EIN 81-2579858
Case Number EO-2016138-000565
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SYRACUSE ELKS LODGE YOUTH FOUNDATION INC
Organization’s Mailing Address 3815 S SALINA STREET
City SYRACUSE
State NY
ZIP 13205
Accounting period End 12
Primary contact name THOMAS W SIMCOE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEE GLOVER
PRESIDENT, DIRECTOR
3815 S SALINA STREET
SYRACUSE NY 13205

Officer/Director/Trustee Two

LARRY BROWN
VICE PRESIDENT - DIRECTOR
3815 S SALINA STREET
SYRACUSE NY 13205

Officer/Director/Trustee Three

WILTON GEORGE
SECRETARY - DIRECTOR
3815 S SALINA STREET
SYRACUSE NY 13205

Officer/Director/Trustee Four

EDDIE TYSON
TREASURER - DIRECTOR
3815 S SALINA STREET
SYRACUSE NY 13205

Organization’s website
Organization’s email SYRACUSELODGE1104@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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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