FORM 1023-EZ for LOVING LEWIS COUNTY INC

Field Data
EIN 83-1838581
Case Number EO-2019316-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVING LEWIS COUNTY INC
Organization’s Mailing Address 7476 STATE ROUTE 12
City LOWVILLE
State NY
ZIP 13367
Accounting period End 12
Primary contact name ADAM R MATTESON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DYNALL YORK
PRESIDENT
7476 STATE ROUTE 12
LOWVILLE NY 13367

Officer/Director/Trustee Two

MATTHEW ZEHR
DIRECTOR
5723 WATERS ROAD
LOWVILLE NY 13367

Officer/Director/Trustee Three

JACK BUSHY
DIRECTOR
9540 MAIN STREET
BEAVER FALLS NY 13305

Officer/Director/Trustee Four

GLENN OLMSTEAD
DIRECTOR
5573 WATER STREET
LOWVILLE NY 13367

Officer/Director/Trustee Five

MORRIS MCINTOSH
DIRECTOR
7476 STATE ROUTE 12
LOWVILLE NY 13367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 DYNALL YORK
Signature Title PRESIDENT
Signature Date 11/8/19

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