FORM 1023-EZ for PAWS4POTTER INC

Field Data
EIN 82-1871569
Case Number EO-2017170-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAWS4POTTER INC
Organization’s Mailing Address 16798 COUNTY ROUTE 53
City DEXTER
State NY
ZIP 13634
Accounting period End 5
Primary contact name KYLE STEVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE STEVENSON
PRESIDENT
15798 COUNTY ROUTE 53
DEXTER NY 13634

Officer/Director/Trustee Two

RICHARD STEVENSON
BOARD OF DIRECTORS
314 E KIRBY ST
DEXTER NY 13634

Officer/Director/Trustee Three

JAYE STEVENSON
BOARD OF DIRECTORS
314 E KIRBY ST
DEXTER NY 13634

Officer/Director/Trustee Four

ROGER MCNERNEY
BOARD OF DIRECTORS
25576 KEYSER ROAD
EVANS MILLS NY 13637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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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