FORM 1023-EZ for THE MUSSOMELESE SOCIETY OF OUR LADYOF MIRACLES OF WESTERN NEW YORK IN

Field Data
EIN 82-2059179
Case Number EO-2017209-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MUSSOMELESE SOCIETY OF OUR LADYOF MIRACLES OF WESTERN NEW YORK IN
Organization’s Mailing Address 45 SOUTH ROSSLER AVENUE
City BUFFALO
State NY
ZIP 14206
Accounting period End 12
Primary contact name MICHAEL ERVOLINA JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENA HOEFLSCHWEIGER
PRESIDENT/DIRECTOR
88 WEDGEWOOD DRIVE
WEST SENECA NY 14224

Officer/Director/Trustee Two

MICHAEL BONFANTE
VICE PRESIDENT/DIRECTOR
250 VILLA AVENUE
BUFFALO NY 14216

Officer/Director/Trustee Three

SUSAN ERVOLINA
RECORDING SECTY/DIRECTOR
144 COLONY COURT
SNYDER NY 14226

Officer/Director/Trustee Four

MICHAEL ERVOLINA JR
TREASURER/DIRECTOR
6304 EVERWOOD COURT
EAST AMHERST NY 14051

Organization’s website WWW.MUSSOMELIWNY.ORG
Organization’s email MIKEE@VALUHC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
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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