FORM 1023-EZ for WEST 1566 COMMUNITY CENTER INC

Field Data
EIN 82-3574453
Case Number EO-2018225-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST 1566 COMMUNITY CENTER INC
Organization’s Mailing Address PO BOX 127
City MILFORD
State NY
ZIP 13807
Accounting period End 12
Primary contact name VICKIE ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN POKORNY
CHAIRMAN
141 E MAIN ST
MILFORD NY 13807

Officer/Director/Trustee Two

VICKIE ELLIS
TREASURER
49 DEPOT ST
SCHENEVUS NY 12155

Officer/Director/Trustee Three

KRISTEN BELLOIS
SECRETARY
24 LAKE ST
COOPERSTOWN NY 13326

Officer/Director/Trustee Four

MARGARET GRAY
DIRECTOR
PO BOX 125
MILFORD NY 13807

Officer/Director/Trustee Five

EVERETT GRIFFITHS
DIRECTOR
3461 STATE HWY 29
MILFORD NY 13807

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 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 BRIAN POKORNY
Signature Title CHAIRMAN
Signature Date 8/9/18

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