FORM 1023-EZ for MID-NORTHEAST ROTARY MULTI-DISTRICTPETS INC

Field Data
EIN 83-1216293
Case Number EO-2019030-000654
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID-NORTHEAST ROTARY MULTI-DISTRICTPETS INC
Organization’s Mailing Address 94 WASHINGTON BLVD
City COMMACK
State NY
ZIP 11733
Accounting period End 6
Primary contact name PETERS WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER WELLS
CHAIR PERSON
251 PARK AVENUE
PARK RIDGE NJ 7656

Officer/Director/Trustee Two

DREW KESSLER
VICE CHAIR PERSON
56 FISHKILL HOOK ROAD
HOPEWELL JUNCTION NY 12533

Officer/Director/Trustee Three

LORA HUGELMEYER
TREASURER
330 PARK AVENUE
RYE NY 10580

Officer/Director/Trustee Four

ANN WALKO
SECRETARY
1581 COPPER ROAD
SCOTCH PLAINS NJ 7076

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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 PETER WELLS
Signature Title CHAIR PERSON
Signature Date 12/26/18

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