FORM 1023-EZ for ROOSA GAP ROLLERCOASTER RUNS INC

Field Data
EIN 84-1755225
Case Number EO-2019177-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOSA GAP ROLLERCOASTER RUNS INC
Organization’s Mailing Address 39 SULLIVAN STREET PO BOX 435
City WURTSBORO
State NY
ZIP 12790
Accounting period End 12
Primary contact name HEATHER FASSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER FASSELL
DIRECTOR AND PRESIDENT
146 SARINE ROAD
WURTSBORO NY 12790

Officer/Director/Trustee Two

MEGHAN STALTER
DIRECTOR AND TREASURER
PO BOX 326
WURTSBORO NY 12790

Officer/Director/Trustee Three

THOMAS FASSELL
DIRECTOR AND SECRETARY
146 SARINE ROAD
WURTSBORO NY 12790

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 HEATHER FASSELL
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/24/19

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