FORM 1023-EZ for AMITYVILLE WOMAN S CLUB INC

Field Data
EIN 57-1196370
Case Number EO-2018317-000464
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMITYVILLE WOMAN S CLUB INC
Organization’s Mailing Address P O BOX 443
City AMITYVILLE
State NY
ZIP 11701
Accounting period End 6
Primary contact name ANGELA J COWAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE REALMUTO
PRESIDENT
29 GRACE CT
AMITYVILLE NY 11701

Officer/Director/Trustee Two

MARTHA PETERSON
1ST VICE PRESIDENT
77 CARMEN PLACE
AMITYVILLE NY 11701

Officer/Director/Trustee Three

CAROL GEYER
2ND VICE PRESIDENT
45 CHARLESTON DR
AMITYVILLE NY 11701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/03
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 REALMUTO
Signature Title PRESIDENT
Signature Date 11/10/18

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