FORM 1023-EZ for FILLMORE POWERHOUSE YOUTH CENTER INC

Field Data
EIN 47-2264715
Case Number EO-2014332-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FILLMORE POWERHOUSE YOUTH CENTER INC
Organization’s Mailing Address 23 W MAIN STREET
City FILLMORE
State NY
ZIP 14735
Accounting period End 12
Primary contact name MARCIE BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARCIE BROOKS
DIRECTOR
19 MINARD STREET PO BOX 75
FILLMORE NY 14735

Officer/Director/Trustee Two

GERALD BROOKS
DIRECTOR
19 MINARD STREET PO BOX 75
FILLMORE NY 14735

Officer/Director/Trustee Three

DAVID PULLEN
DIRECTOR
21 MINARD STREET
FILLMORE NY 14735

Officer/Director/Trustee Four

ROGER MILLER
DIRECTOR
5433 COUNTY ROAD 16
ANGELICA NY 14709

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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