FORM 1023-EZ for CHARLOTTEVILLE SCHOOLHOUSE RESTORATION COMMITTEE INC

Field Data
EIN 46-5450529
Case Number EO-2016102-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARLOTTEVILLE SCHOOLHOUSE RESTORATION COMMITTEE INC
Organization’s Mailing Address PO BOX 82
City CHARLOTTEVILLE
State NY
ZIP 12036-0082
Accounting period End 12
Primary contact name URSULA CARR-BOWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

URSULA CARR-BOWER
TREASURER
PO BOX 82
CHARLOTTEVILLE NY 12036-0082

Officer/Director/Trustee Two

JOSEPH DAHMS SR
CHAIRPERSON
PO BOX 82
CHARLOTTEVILLE NY 12036-0082

Officer/Director/Trustee Three

DESIREE JOSEPHSON
SECRETARY
PO BOX 82
CHARLOTTEVILLE NY 12036-0082

Officer/Director/Trustee Four

HAROLD VROMAN
DIRECTOR
PO BOX 82
CHARLOTTEVILLE NY 12036-0082

Officer/Director/Trustee Five

KENNETH WORTZ
DIRECTOR
PO BOX 82
CHARLOTTEVILLE NY 12036-0082

Organization’s website
Organization’s email CSRC641@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 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
Signature Title
Signature Date

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