FORM 1023-EZ for PSB TRANSITIONS OF SARATOGA INC

Field Data
EIN 47-1665912
Case Number EO-2014314-000076
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PSB TRANSITIONS OF SARATOGA INC
Organization’s Mailing Address 2 CLEARVIEW LANE
City QUEENSBURY
State NY
ZIP 12804
Accounting period End 12
Primary contact name KRISTIN BERGIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTIN BERGIN
DIRECTOR
2 CLEARVIEW LANE
QUEENSBURY NY 12804

Officer/Director/Trustee Two

ED BERGIN
DIRECTOR
15 SANDSPRING DRIVE
SARATOGA SPRINGS NY 12866

Officer/Director/Trustee Three

JUSTIN BERGIN
DIRECTOR
110 RUGGLES ROAD
SARATOGA SPRINGS NY 12866

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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