FORM 1023-EZ for PUNCH OUT PARKINSONS INC

Field Data
EIN 83-2040510
Case Number EO-2018317-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUNCH OUT PARKINSONS INC
Organization’s Mailing Address 709 CONKLIN ROAD
City BINGHAMTON
State NY
ZIP 13903
Accounting period End 12
Primary contact name JOHN CAPPELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CAPPELLO
PRESIDENT
709 CONKLIN ROAD
BINGHAMTON NY 13903

Officer/Director/Trustee Two

JAMES NOWIK
VICE PRESIDENT
709 CONKLIN ROAD
BINGHAMTON NY 13903

Officer/Director/Trustee Three

DAVID VANDERMARK
TREASURER
709 CONKLIN ROAD
BINGHAMTON NY 13903

Officer/Director/Trustee Four

ROBERT SCHWING
SECRETARY
709 CONKLIN ROAD
BINGHAMTON NY 13903

Officer/Director/Trustee Five

LAWRENCE BRINKER
DIRECTOR
709 CONKLIN ROAD
BINGHAMTON NY 13903

Organization’s website SOUTHERNTIERNY.RSBAFFILIATE.COM
Organization’s email SOUTHERNTIERNY@RSBAFFILIATE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 LAWRENCE BRINKER
Signature Title DIRECTOR
Signature Date 11/8/18

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