FORM 1023-EZ for FIREMENS BENEVOLENT ASSOCIATION OFTHE VILLAGE OF LEROY INC

Field Data
EIN 16-6046754
Case Number EO-2014318-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIREMENS BENEVOLENT ASSOCIATION OFTHE VILLAGE OF LEROY INC
Organization’s Mailing Address 4 CLAY STREET
City LE ROY
State NY
ZIP 14482
Accounting period End 3
Primary contact name TERRI B STAROWITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GERALD DISKIN
PRESIDENT
58 WOLCOTT STREET
LE ROY NY 14482

Officer/Director/Trustee Two

KENNETH DAVIS
VICE PRESIDENT
7307 GRISWOLD ROAD
BERGEN NY 14416

Officer/Director/Trustee Three

JAMES SPEAR
SECRETARY/TREASURER
70 SUMMIT STREET
LE ROY NY 14482

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date ###############################################################################################################################################################################################################################################################
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y22 - Local Benevolent Life Insurance Associations, Mutual Irrigation and Telephone Companies, and Like Organizations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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