FORM 1023-EZ for AMERICAN PASSAGE INC

Field Data
EIN 81-0817252
Case Number EO-2016144-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN PASSAGE INC
Organization’s Mailing Address 2 COUNTRY CLUB LANE
City SCARBOROUGH
State NY
ZIP 10510
Accounting period End 12
Primary contact name WILLIAM SKODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM SKODY
CFO
2 COUNTRY CLUB LANE
SCARBOROUGH NY 10510

Officer/Director/Trustee Two

TRACEY WONG
PRESIDENT
2 COUNTRY CLUB LANE
SCARBOROUGH NY 10510

Officer/Director/Trustee Three

MARTY LEVINE
DIRECTOR
2 COUNTRY CLUB LANE
SCARBOROUGH NY 10510

Officer/Director/Trustee Four

CHLOE HODGSON
DIRECTOR
2 COUNTRY CLUB LANE
SCARBOROUGH NY 10510

Officer/Director/Trustee Five

MILDRED WONG
DIRECTOR
2 COUNTRY CLUB LANE
SCARBOROUGH NY 10510

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G83 - Alzheimer's Disease
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 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 Yes
One Third Support Gifts No
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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