FORM 1023-EZ for NATIONAL COALITION BUILDING INSTITUTE OF ROCHESTER

Field Data
EIN 22-3036722
Case Number EO-2016091-000662
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL COALITION BUILDING INSTITUTE OF ROCHESTER
Organization’s Mailing Address C/O STARBRIDGE 1650 SOUTH AVE
City ROCHESTER
State NY
ZIP 14620
Accounting period End 12
Primary contact name STEVEN JAROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOANNE PANARISI-BOTTONE
BOARD PRESIDENT
768 LANDING ROAD NORTH
ROCHESTER NY 14625

Officer/Director/Trustee Two

STANLEY BYRD
BOARD VICE PRESIDENT
7 TUXFORD ROAD
ROCHESTER NY 14534

Officer/Director/Trustee Three

TAMMY BUTLER-FLUITT
SECRETARY
225 LARK STREET
ROCHESTER NY 14613

Officer/Director/Trustee Four

SCOTT MACPHERSON
TREASURER
310 MEIGS STREET 6
ROCHESTER NY 14607

Officer/Director/Trustee Five

STEVE JAROSE
CHAPTER DIRECTOR
34 WOODLAND ROAD
PITTSFORD NY 14534-1136

Organization’s website WWW.NCBIROCHESTER.ORG
Organization’s email SJAROSE@STARBRIDGEINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R30 - Intergroup, Race Relations
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
Signature Title
Signature Date

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