FORM 1023-EZ for 46-4-22 ADK LTD

Field Data
EIN 84-2018859
Case Number EO-2019164-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 46-4-22 ADK LTD
Organization’s Mailing Address 28 PROSPECT ST
City MALONE
State NY
ZIP 12953
Accounting period End 12
Primary contact name MICHAEL D FOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL FOUSE
FOUNDER/EXEC. DIRECTOR
28 PROSPECT ST
MALONE NY 12953

Officer/Director/Trustee Two

ERIN FOUSE
VICE-PRESIDENT/CFO
28 PROSPECT ST
MALONE NY 12953

Officer/Director/Trustee Three

JOHN MAHONEY
DIRECTOR
75 PLEASANT ST APT 3
MALONE NY 12953

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
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 MICHAEL FOUSE
Signature Title FOUNDER/EXEC. DIRECTOR
Signature Date 6/11/19

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