FORM 1023-EZ for AT HOME ADVOCACY INC

Field Data
EIN 84-4207796
Case Number EO-2020077-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AT HOME ADVOCACY INC
Organization’s Mailing Address 70 BLODGETT ROAD
City GREENWICH
State NY
ZIP 12834
Accounting period End 12
Primary contact name STACEY SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY SULLIVAN
EXECUTIVE DIRECTOR
70 BLODGETT ROAD
GREENWICH NY 12834-7010

Officer/Director/Trustee Two

KIMBERLY SULLIVAN
BOARD OF DIRECTORS
70 BLODGETT ROAD
VICTORY MILLS NY 12834-7010

Officer/Director/Trustee Three

ANDREA DELMAR
BOARD OF DIRECTORS
11 PINE STREET
VICTORY MILLS NY 12884

Officer/Director/Trustee Four

CATHY MEDICK
BOARD OF DIRECTORS
192 COUNTY ROUTE 67
STILLWATER NY 12170

Organization’s website
Organization’s email ATHOMEADVOCACYNY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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 Yes
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 STACEY SULLIVAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/15/2020

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