FORM 1023-EZ for THE HIGHLAND CLUBHOUSE INC

Field Data
EIN 83-4430104
Case Number EO-2019277-000814
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HIGHLAND CLUBHOUSE INC
Organization’s Mailing Address 615 MAIN ST UNIT 2281
City NIAGARA FALLS
State NY
ZIP 14302
Accounting period End 12
Primary contact name KRISTA EHASZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTA EHASZ
OFFICER
49 LARCHMONT ROAD
BUFFALO NY 14214

Officer/Director/Trustee Two

KEYONA DUNN
OFFICER
1363 CENTRE AVE
NIAGARA FALLS NY 14305

Officer/Director/Trustee Three

MONICA RIDGEWAY
OFFICER
330 TREMAINE AVENUE
BUFFALO NY 14217

Officer/Director/Trustee Four

ALLISON NASSOIY
OFFICER
4842 LAFAYETTE CIRCLE
NIAGARA FALLS NY 14305

Organization’s website WWW.HIGHLANDCLUBHOUSE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 KRISTA EHASZ
Signature Title OFFICER
Signature Date 10/2/19

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