FORM 1023-EZ for ANTHONY BLAAUBOER KINDNESS FOUNDATION INC

Field Data
EIN 84-1827549
Case Number EO-2019316-000488
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTHONY BLAAUBOER KINDNESS FOUNDATION INC
Organization’s Mailing Address 7 3RD ST
City WATERFORD
State NY
ZIP 12188
Accounting period End 12
Primary contact name MICHELLE BLAAUBOER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE BLAAUBOER
PRESIDENT
7 3RD STREET
WATERFORD NY 12188

Officer/Director/Trustee Two

JOHN BLAAUBOER JR
VICE PRESIDENT
7 3RD STREET
WATERFORD NY 12188

Officer/Director/Trustee Three

JOSETTE VALENTI
SECRETARY
13A MACOUN DRIVE
CLIFTON PARK NY 12065

Officer/Director/Trustee Four

KIRSTIN PISKUN
TREASURER
3 PLAID PLACE
CLIFTON PARK NY 12065

Organization’s website
Organization’s email BEKINDFORANTHONY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 MICHELLE BLAAUBOER
Signature Title PRESIDENT
Signature Date 11/9/19

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