FORM 1023-EZ for CHIEF EDWARD PEYSER MEMORIAL FOUNDATION

Field Data
EIN 83-4377402
Case Number EO-2019191-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHIEF EDWARD PEYSER MEMORIAL FOUNDATION
Organization’s Mailing Address 65 SOUTH DR
City PLANDOME
State NY
ZIP 11030
Accounting period End 6
Primary contact name JILL SANDERS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE PEYSER
PRESIDENT & TREASURER
2 SHOREVIEW LANE
PLANDOME NY 11030

Officer/Director/Trustee Two

CHRISTOPHER PEYSER
VICE PRESIDENT & SECRETARY
211 NORTH END AVENUE APT 4A
NEW YORK NY 10282

Officer/Director/Trustee Three

LAUREN SCALLY
DIRECTOR
211 NORTH END AVENUE APT 5J
NEW YORK NY 10282

Officer/Director/Trustee Four

PAUL BECKER
DIRECTOR
10 STUART PLACE
MANHASSET NY 11030

Officer/Director/Trustee Five

KEVIN MURPHY
DIRECTOR
66 SOUTH DRIVE
PLANDOME NY 11030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 CHRISTOPHER PEYSER
Signature Title VICE PRESIDENT & SECRETARY
Signature Date 7/8/19

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