FORM 1023-EZ for BERKSHIRE-HUDSON VALLEY CHAPTER AOSA

Field Data
EIN 14-1696765
Case Number EO-2019192-000319
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERKSHIRE-HUDSON VALLEY CHAPTER AOSA
Organization’s Mailing Address 9 MENNEN ROAD
City SCHUYLERVILLE
State NY
ZIP 12871-1882
Accounting period End 6
Primary contact name HEIDI LEVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE TOMMASONE
PRESIDENT
1607 CAMBRIDGE MANOR DR
SCOTIA NY 12302

Officer/Director/Trustee Two

CAROLYN SLEZAK
VICE PRESIDENT
5088 BOULDER PATH
BALLSTON SPA NY 12020

Officer/Director/Trustee Three

HEIDI LEVIN
TREASURER
9 MENNEN RD
SCHUYLERVILLE NY 12871

Officer/Director/Trustee Four

KELLY SEYMOUR
SECRETARY
21 FRUITWOOD DRIVE
BURNT HILLS NY 12027

Organization’s website BHVORFF.NET
Organization’s email BHVAOSA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/72
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
Correctness Declaration Yes
Signature Name HEIDI LEVIN
Signature Title TREASURER
Signature Date 7/9/19

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