FORM 1023-EZ for DAN AND ROSEANN GERNATT CHARITABLE FOUNDATION INC

Field Data
EIN 83-0529981
Case Number EO-2018140-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAN AND ROSEANN GERNATT CHARITABLE FOUNDATION INC
Organization’s Mailing Address 13870 TAYLOR HOLLOW ROAD
City COLLINS
State NY
ZIP 14034
Accounting period End 12
Primary contact name ERIC M FIRKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL GERNATT
PRESIDENT
1434 ELLIS ROAD
ANGOLA NY 14006

Officer/Director/Trustee Two

ROSEANN GERNATT
VICE PRESIDENT
1434 ELLIS ROAD
ANGOLA NY 14006

Officer/Director/Trustee Three

RANDALL BEST
SECRETARY
103 SUNSET BOULEVARD
ANGOLA NY 14006

Officer/Director/Trustee Four

MARK BURR
TREASURER
26 MALTBIE ROAD
GOWANDA NY 14070

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MARK BURR
Signature Title TREASURER
Signature Date 5/15/18

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