FORM 1023-EZ for CITY OF NEWBURGH LIONS FOUNDATION INCORPORATED

Field Data
EIN 16-1513704
Case Number EO-2014310-000544
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITY OF NEWBURGH LIONS FOUNDATION INCORPORATED
Organization’s Mailing Address 243 HUDSON STREET
City CORNWALL ON HUDSON
State NY
ZIP 12520
Accounting period End 6
Primary contact name GARY RANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CATHERINE JONES
PRESIDENT
111 BROADWAY
NEWBURGH NY 12550

Officer/Director/Trustee Two

DAVID MAKSOMSKI
TREASURER
4 JENNIFER COURT
NEW WINDSOR NY 12553

Officer/Director/Trustee Three

WILLIAM BRUNELL
FIRST VICE PRESIDENT
2 ELSIE CIRCLE
CORNWALL ON HUDSON NY 12520

Officer/Director/Trustee Four

ELDRED CARHART JR
SECRETARY
66 BALMVILLE ROAD
NEWBURGH NY 12550-1978

Officer/Director/Trustee Five

GARY RANK
DIRECTOR
2 PARKVIEW STREET NORTH
NEWBURGH NY 12550-1531

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/1995
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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