| Field | Data |
|---|---|
| EIN | 86-1354080 |
| Case Number | EO-2021110-000066 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KEUKA PEACEFUL ROOTS INC |
| Organization’s Mailing Address | PO BOX 638 |
| City | HAMMONDSPORT |
| State | NY |
| ZIP | 14840 |
| Accounting period End | 12 |
| Primary contact name | GWEN QUIGLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LICIA BAJUS
PRESIDENT
8027 COUNTY ROUTE 13
BATH NY 14810
DANA PENMAN
TREASURER
3632 SMITH AVE APT 443
ACTON CA 93510
GWEN QUIGLEY
BOARD MEMBER
8660 VOGT RD
HAMMONSPORT NY 14840
JOHN BENNETT
SECRETARY
4800 EAST LAKE RD APT 6
RUSHVILLE NY 14544
NICOLE STUMPF
BOARD MEMBER
1011 BAY RIDGE AVE APT 148
ANNAPOLIS MD 21403
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/16/2020 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A20 - Arts, Cultural 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 | Yes |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JOHN BENNETT |
| Signature Title | SECRETARY |
| Signature Date | 4/10/2021 |
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