FORM 1023-EZ for NIVBC INC

Field Data
EIN 82-2719794
Case Number EO-2018026-000330
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIVBC INC
Organization’s Mailing Address 71 MACEY LANE
City PLATTSBURGH
State NY
ZIP 12901-5923
Accounting period End 12
Primary contact name MARY ANNE LAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER LARMON
PRESDENT
53 WASHINGTON AVE
ROUSES POINT NY 12979-1211

Officer/Director/Trustee Two

EDWARD HAWKS
VICE PRESIDENT
252 ONEIL ROAD
WEST CHAZY NY 12992-2535

Officer/Director/Trustee Three

KARI PRESCOTT
SECRETARY
3 EVA DRIVE
PERU NY 12972-5324

Officer/Director/Trustee Four

MARY ANNE LAKE
TREASURER
71 MACEY LANE
PLATTSBURGH NY 12901-5923

Organization’s website
Organization’s email NIVBC2014@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 MARY ANNE LAKE
Signature Title TREASURER
Signature Date 1/24/18

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