FORM 1023-EZ for AMSTERDAM KITTEN ADOPTION INC

Field Data
EIN 35-2560453
Case Number EO-2016165-000444
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMSTERDAM KITTEN ADOPTION INC
Organization’s Mailing Address 218 NORTHERN BLVD
City HAGAMAN
State NY
ZIP 12086-4504
Accounting period End 12
Primary contact name GINA KLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GINA KLINE
PRESIDENT
218 NORTHERN BLVD
HAGAMAN NY 12086

Officer/Director/Trustee Two

SHERRI CROUSE
VICE PRESIDENT
4438 STATE HIGHWAY 30
AMSTERDAM NY 12010

Officer/Director/Trustee Three

BARBARA KOEHLER
SECRETARY
19 COOLIDGE ROAD
AMSTERDAM NY 12010

Officer/Director/Trustee Four

NICOLE HEMSLEY
TREASURER
10 CAROLINE STREET
AMSTERDAM NY 12010

Officer/Director/Trustee Five

CHRISTOPHER CARPENTER
FUNDRAISING COORDINATOR
5 CATHERINE STREET
AMSTERDAM NY 12010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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