FORM 1023-EZ for 1000 ISLANDS CHARITY POKER RUN CORP

Field Data
EIN 82-0648835
Case Number EO-2017072-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1000 ISLANDS CHARITY POKER RUN CORP
Organization’s Mailing Address 230 JAMES STREET
City CLAYTON
State NY
ZIP 13624
Accounting period End 12
Primary contact name ROBERT CANTWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS TULLOCH
PRESIDENT
11 HARBOR VILLA
ALEXANDRIA BAY NY 13607

Officer/Director/Trustee Two

ROBERT CANTWELL
VP
39648 CARRIER RIDGE ROAD
CLAYTON NY 13624

Officer/Director/Trustee Three

JULIE GARNSEY
TREASURER
36418 PELO ROAD
CLAYTON NY 13624

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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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