FORM 1023-EZ for STEUBEN YOUTH SERVICES FUND INC

Field Data
EIN 83-2203544
Case Number EO-2019038-000902
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEUBEN YOUTH SERVICES FUND INC
Organization’s Mailing Address 3 EAST PULTENEY SQUARE
City BATH
State NY
ZIP 14810-346
Accounting period End 12
Primary contact name WILLARD A CAUDILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH RUMSEY
PRESIDENT
215 BURTON STREET
BATH NY 14810-346

Officer/Director/Trustee Two

PAMELA COLOMAIO
TREASURER
9 LYONS STREET
BATH NY 14810-346

Officer/Director/Trustee Three

BARBARA MCCOLLUM
SECRETARY
806 STATE ROUTE 21
HORNELL NY 14843-9640

Officer/Director/Trustee Four

DAVID SMITH
VICE PRESIDENT
109 EAST WILLIAM
BATH NY 14810-346

Officer/Director/Trustee Five

CATHERINE VON HAGN
DIRECTOR
7212 APPLE STREET
BATH NY 14810-346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CATHERINE VON HAGN
Signature Title DIRECTOR
Signature Date 1/25/19

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