FORM 1023-EZ for BACK TO SCHOOL INC

Field Data
EIN 46-3519102
Case Number EO-2015260-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACK TO SCHOOL INC
Organization’s Mailing Address 203 PITCHER LANE
City NORTH SYRACUSE
State NY
ZIP 13212-3573
Accounting period End 12
Primary contact name ROXANNE M BOCYCK CEO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROXANNE BOCYCK
PRESIDENT/CEO
203 PITCHER LANE
NORTH SYRACUSE NY 13212-3573

Officer/Director/Trustee Two

ROBERT COLLEY
VICE CHAIRPERSON
91 COMSTOCK AVE
SYRACUSE NY 13210-2419

Officer/Director/Trustee Three

TED FINLAYSON-SCHUELER
VICE CHAIRPERSON
118 SHIRLEY AVE
SYRACUSE NY 13224-1912

Officer/Director/Trustee Four

MELISSA CURTIS-OWENS
SECRETARY/ TREASURER
205 HOOVER DRIVE
SYRACUSE NY 13205-3242

Organization’s website WWW.BACKTOSCHOOLINC.ORG
Organization’s email ROXANNE@BACKTOSCHOOLINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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