FORM 1023-EZ for SERTOMA CLUB OF JAMESTOWN NEW YORKINCORPORATED

Field Data
EIN 16-6100323
Case Number EO-2014307-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERTOMA CLUB OF JAMESTOWN NEW YORKINCORPORATED
Organization’s Mailing Address 9468 WEST BUCKTOOTH RUN ROAD
City LITTLE VALLEY
State NY
ZIP 14755
Accounting period End 12
Primary contact name JOSEPH PILLITTERE-TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COSMO DEMAIO
PRESIDENT
101 AVALON BOULEVARD
JAMESTOWN NY 14701

Officer/Director/Trustee Two

TONY RAFFA
VICE PRESIDENT
251 IVY STREET
JAMSTOWN NY 14701

Officer/Director/Trustee Three

JOSEPH PILLITTERE
TREASURER
9468 WEST BUCKTOOTH RUN ROAD
LITTLE VALLEY NY 14755

Officer/Director/Trustee Four

ROGER EDBORG
SECRETARY
27 HUGHES STREET
JAMESTOWN NY 14701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/1988
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O5O -
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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