FORM 1023-EZ for SCOTIA ANGLICAN MINISTRIES INC

Field Data
EIN 47-4983141
Case Number EO-2015306-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCOTIA ANGLICAN MINISTRIES INC
Organization’s Mailing Address POST OFFICE BOX 2105
City SCOTIA
State NY
ZIP 12302
Accounting period End 12
Primary contact name RAYMOND J DAGUE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SIMONE ROCKWELL
PRESIDENT
658 SACANDAGA ROAD
SCOTIA NY 12302

Officer/Director/Trustee Two

ROBERT VINES
TREASURER
97 GOVERNOR DRIVE
SCOTIA NY 12302

Officer/Director/Trustee Three

JERI VINCENT
SECRETARY
1906 ALBANY STREET
SCHENECTADY NY 12304

Officer/Director/Trustee Four

CAROLINA LAZZARI
DIRECTOR
322 WEMPLE ROAD
SCHENECTADY NY 12306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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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