FORM 1023-EZ for RACHELS VOICE OF HORNELL INC

Field Data
EIN 32-0413280
Case Number EO-2016231-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RACHELS VOICE OF HORNELL INC
Organization’s Mailing Address 117 THACHER STREET
City HORNELL
State NY
ZIP 14843-1226
Accounting period End 12
Primary contact name AMY MIKOLAJCZYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY MIKOLAJCZYK
EXECUTIVE DIRECTOR
117 THACHER STREET
HORNELL NY 14843-1226

Officer/Director/Trustee Two

JENNIFER SPOTH
VICE CHAIR
1022 NORTH ALMOND VALLEY RD
ARKPORT NY 14807

Officer/Director/Trustee Three

JOHN CULLEN
DIRECTOR OF BOARD
6 NORTH STREET
CANASERAGA NY 14822

Officer/Director/Trustee Four

DANIEL MCMCANUS
TREASURER
66 EAST WASHINGTON ST
HORNELL NY 14843-1226

Officer/Director/Trustee Five

JOAN FLAITZ
CHAIR
38 JOHN STREET
HORNELL NY 14843-1226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P47 -
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 32-0413280
Case Number EO-2015055-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RACHELS VOICE OF HORNELL INC
Organization’s Mailing Address 117 THACHER ST
City HORNELL
State NY
ZIP 14843
Accounting period End 12
Primary contact name AMY MIKOLAJCZYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY MIKOLAJCZYK
EXECUTIVE DIRECTOR
117 THACHER ST
HORNELL NY 14843

Officer/Director/Trustee Two

DANIEL MCMANUS
TREASURER
64 E WASHINGTON ST
HORNELL NY 14843

Officer/Director/Trustee Three

JOAN FLAITZ
PRESIDENT
38 JOHN STREET
HORNELL NY 14843

Officer/Director/Trustee Four

JEN SPOTH
VICE PRESIDENT
NORTH ALMOND VALLEY RD
ARKPORT NY 14807

Officer/Director/Trustee Five

FATHER JOHN CULLEN
DIRECTOR OF THE BOARD
6 NORTH STREET
CANASERAGA NY 14822

Organization’s website WWW.RACHELSVOICEHORNELL.COM
Organization’s email RACHELSVOICEHORNELL@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 Yes
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
Signature Title
Signature Date

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