FORM 1023-EZ for PLATTSBURGH ROBOTICS INC

Field Data
EIN 85-2787913
Case Number EO-2021082-000820
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLATTSBURGH ROBOTICS INC
Organization’s Mailing Address 210 WEST BAY PLAZA
City PLATTSBURGH
State NY
ZIP 12901
Accounting period End 12
Primary contact name DOVE PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOVE PHILLIPS
PRESIDENT
14 MOHICAN LANE
PLATTSBURGH NY 12901

Officer/Director/Trustee Two

MICHAEL WALTERS
VICE PRESIDENT
7 SEALEY DR
POTSDAM NY 13676

Officer/Director/Trustee Three

JULIE BAUGHN
SECRETARY
49 MAIN MILL ST
PLATTSBURGH NY 12901

Officer/Director/Trustee Four

LISA BOUSQUET
TRUSTEE
142 NORTH MAIN ST APT 2
MASSENA NY 13662

Officer/Director/Trustee Five

REBECCA WALTERS
TREASURER
7 SEALY DR
POTSDAM NY 13676

Organization’s website
Organization’s email PLATTSBURGHROBOTICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 DOVE PHILLIPS
Signature Title PRESIDENT
Signature Date 2/1/2021

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