FORM 1023-EZ for WINDHAM ASHLAND JEWETT EDUCATIONAL FOUNDATION INC

Field Data
EIN 47-4078146
Case Number EO-2017041-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WINDHAM ASHLAND JEWETT EDUCATIONAL FOUNDATION INC
Organization’s Mailing Address 5411 STATE ROUTE 23
City WINDHAM
State NY
ZIP 12496
Accounting period End 6
Primary contact name PATRICK FITZGERALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN WIKTORKO
DIRECTOR
23 PINE RIDGE ROAD
HADLEY NY 12835

Officer/Director/Trustee Two

MICHELLE MATTICE
DIRECTOR/PRESIDENT
11672 STATE ROUTE 23
ASHLAND NY 12407

Officer/Director/Trustee Three

DREW SHUSTER
DIRECTOR/SECRETARY/TREASURER
5510 ROUTE 23
WINDHAM NY 12496

Officer/Director/Trustee Four

WILLIAM HALTERMANN
DIRECTOR
299 NAUVOO ROAD
WINDHAM NY 12496

Officer/Director/Trustee Five

DEBRA BUNCE
DIRECTOR
BOX 171
WINDHAM NY 12451

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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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