FORM 1023-EZ for HUDSON VALLEY JUNIOR GOLF INC

Field Data
EIN 47-1047665
Case Number EO-2015021-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUDSON VALLEY JUNIOR GOLF INC
Organization’s Mailing Address PO BOX 14
City CENTRAL VALLEY
State NY
ZIP 10917
Accounting period End 12
Primary contact name JEREMY HAVENS ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATH YARMUS
DIRECTOR/PRESIDENT
66 DUNCAN AVE
CORNWALL ON HUDSON NY 12520

Officer/Director/Trustee Two

STANLEY GARRANT
DIRECTOR/VICE PRESIDENT
12 THORNBERRY WAY
POUGHKEEPSIE NY 12603

Officer/Director/Trustee Three

JEFFREY WAALAND
DIRECTOR/SECRETARY
23 HORTON RD
WASHINGTONVILLE NY 10992

Officer/Director/Trustee Four

SCOTT DICKSON
DIRECTOR/TREASURER
23 LINCOLN DR
WASHINGTONVILLE NY 10992

Organization’s website HTTP://WWW.HVJRGOLF.ORG
Organization’s email HVJRGOLF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2014
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: 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
Signature Title
Signature Date

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