FORM 1023-EZ for ALS TEAM TOWN

Field Data
EIN 27-3050953
Case Number EO-2014252-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALS TEAM TOWN
Organization’s Mailing Address 57 PLEASANT AVENUE
City SCHAGHTICOKE
State NY
ZIP 12154
Accounting period End 6
Primary contact name SALVATORE IAVARONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARILOU PUDIAK-TOWN
PRESIDENT
57 PLEASANT AVENUE
SCHAGHTICOKE NY 12154

Officer/Director/Trustee Two

ALISON MILLER
VICE PRESIDENT
1 WILLOWBROOK
BALLSTON LAKE NY 12019

Officer/Director/Trustee Three

COLEEN RYAN
SECRETARY
47 S MAIN STREET
SCHAGHTICOKE NY 12154

Officer/Director/Trustee Four

NANCY O DONNELL
TREASURER
266 HANSEN ROAD
SCHAGHTICOKE NY 12154

Organization’s website HTTP://WWW.ALSTEAMTOWN.COM/
Organization’s email BILL@ALSTEAMTOWN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2010
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H50 - Nerve, Muscle, Bone Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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
Signature Title
Signature Date

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