FORM 1023-EZ for NEW YORK SAFE UTILITY METER ASSOCIATION INC

Field Data
EIN 82-3079749
Case Number EO-2017304-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW YORK SAFE UTILITY METER ASSOCIATION INC
Organization’s Mailing Address POB 31
City WOODSTOCK
State NY
ZIP 12498-1034
Accounting period End 12
Primary contact name WILLIAM BLELOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE HERTZ
PRESIDENT/TRUSTEE
62 EUCLID AVE
HASTINGS ON HUDSON NY 10706-1435

Officer/Director/Trustee Two

WILLIAM BLELOCK
VP/TRUSTEE
POB 1342
WOODSTOCK NY 12498-1034

Officer/Director/Trustee Three

ANITA GEHRKE
TREASURER/TRUSTEE
17 CLOVE VALLEY ROAD
HIGH FALLS NY 12440-5313

Officer/Director/Trustee Four

TOBY STOVER
SECRETARY/TRUSTEE
81 CLOVE VALLEY ROAD
HIGH FALLS NY 12440-5313

Organization’s website WWW.NYSUMA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W90 - Consumer Protection, Safety
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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