FORM 1023-EZ for WORKERS AID OF NEW YORK INC

Field Data
EIN 83-2370543
Case Number EO-2018340-000592
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORKERS AID OF NEW YORK INC
Organization’s Mailing Address 7145 WARNER ROAD
City PANAMA
State NY
ZIP 14767-7145
Accounting period End 12
Primary contact name KENNETH DUNDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BURKHOLDER
PRESIDENT
7145 WARNER ROAD
PANAMA NY 14767-7145

Officer/Director/Trustee Two

WALTER TROYER JR
VICE PRESIDENT
1708 PORK ROAD
CLYMER NY 14724-1708

Officer/Director/Trustee Three

RAYMOND MILLER
SECRETARY
7820 ROUTE 474
PANAMA NY 14767-7820

Officer/Director/Trustee Four

JONAS TROYER
TREASURER
1862 UPPER ROAD
CLYMER NY 14724-1862

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y99 - Mutual/Membership Benefit Organizations, Other N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 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 DAVID BURKHOLDER
Signature Title PRESIDENT
Signature Date 12/4/18

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