FORM 1023-EZ for CABIN 3 - THE OUTPOST INC

Field Data
EIN 47-2075303
Case Number EO-2015069-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CABIN 3 - THE OUTPOST INC
Organization’s Mailing Address 8658 STATE ROUTE 104
City HANNIBAL
State NY
ZIP 13074
Accounting period End 12
Primary contact name JON ERIK SVEREIKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JON SVEREIKA
DIRECTOR
8658 STATE ROUTE 104
HANNIBAL NY 13074

Officer/Director/Trustee Two

TIMOTHY LANNING
DIRECTOR
1286 COUNTY ROUTE 3
HANNIBAL NY 13074

Officer/Director/Trustee Three

TIMOTHY FISH
DIRECTOR
409 FIRST STREET
FULTON NY 13074

Organization’s website
Organization’s email YANKEE27THOR@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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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