FORM 1023-EZ for DIABETES CONNECTIONS 4 LIFE FOUNDATION INC

Field Data
EIN 81-1934689
Case Number EO-2016138-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIABETES CONNECTIONS 4 LIFE FOUNDATION INC
Organization’s Mailing Address 149 GRANDVIEW DRIVE
City AMHERST
State NY
ZIP 14228
Accounting period End 12
Primary contact name MICHAEL RUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL RUCKER
EXECUTIVE DIRECTOR
149 GRANDVIEW DRIVE
AMHERST NY 14228

Officer/Director/Trustee Two

VALERIE TURNER
PRESIDENT
43 WILLIAMSTOWN CT APT 9
CHEEKTOWAGA NY 14227

Officer/Director/Trustee Three

ORLANDO PEREZ
VICE PRESIDENT
46 GROVELAND STREET
BUFFALO NY 14214

Officer/Director/Trustee Four

TERESA EDGERTON
SECRETARY/TREASURER
7 FARMHILL COURT
LANCASTER NY 14806

Organization’s website
Organization’s email DIABETESCONNECTIONS4LIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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