FORM 1023-EZ for LOON LAKE HOMEOWNERS ASSOCIATION INC

Field Data
EIN 14-1736029
Case Number EO-2019143-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOON LAKE HOMEOWNERS ASSOCIATION INC
Organization’s Mailing Address PO BOX 160
City LOON LAKE
State NY
ZIP 12989
Accounting period End 12
Primary contact name PATRICIA COGSWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS BARTISS
PRESIDENT
62 PINE GROVE LANE
VERMONTVILLE NY 12989

Officer/Director/Trustee Two

PATRICIA COGSWELL
VICE PRESIDENT
165 MENSINK RD
LOON LAKE NY 12989

Officer/Director/Trustee Three

JANE CARROL
TREASURER
35 NORMA DRIVE
LOON LAKE NY 12989

Officer/Director/Trustee Four

BRENDA GEWURZ
SECRETARY
76 GARDEN RD
LOON LAKE NY 12989

Organization’s website HTTP://LOONLAKEHOA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/89
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 PATRICIA COGSWELL
Signature Title VICE PRESIDENT
Signature Date 5/21/19

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