3
Shared Docs
3
Same-Page
3 / 3
Mentions
blication may be node by phone by carting 1 Mail requests should be addressed to NYS Department of Taxation & Finance, Taxpayer Assistance Bureau, NA Harriman Campus, Albany 0309020002 0 )enalty - failure to timely file this statement will be reflected in the department's records as past due or delinquent any m
ions. Please note Farm Corporations must file a paper form. PAPER FILING: • Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below, completing the signer information sect ' his form to the Department of State at the address on the reverse side of this form. Forms ma
be nade by phone by calling 1-800-462-8100 Mail requests should be addressed to NYS Department of Taxation & Finance, Taxpayer Assistance Bureau, NA Harriman Campus. Albany NY 12227 0309020002 0 'enalty - failure to timely file this statement will be reflected in the department's records as past due or delinqu
ons. Please note Farm Corporations must file a paper form. PAPER FILING: • Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below. completing the signer information section and mailing this form to the Department of State at the address on the reverse side of this fo
may be nade by phone by Sling 1-800-462-8100 Mad requests should be addressed to NYS Department of Taxation & Finance, Taxpayer Assistance Bureau. NA Harriman Campus, Albany NY 12227 03090200 ca ‘-/ )enalty - failure to timely file this statement will be reflected in the department's records as past due or delin
ions. Please note Farm Corporations must file a paper form. PAPER FILING: • Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below, completing the signer information section and mailing this form to the Department of State at the address on the reverse side of this fo
Entities connected to both NA Harriman Campus and the Farm Corporation Exemption

NEW YORK NY
LOCATION
American Express
ORGANIZATIONthe Department of State's
ORGANIZATION
MasterCard
ORGANIZATION
Columbus
LOCATION
Jeffrey Epstein
PERSONthe Principal Executive Office
ORGANIZATIONthe City of Albany
LOCATIONTaxpayer Assistance Bureau
ORGANIZATIONParts 1
LOCATIONSchwartz
PERSONSouth High Street
LOCATIONthe State of New York
LOCATIONDarren Indyke
PERSONThe Certificate of Dissolution
ORGANIZATION
New York State
LOCATIONNew York Corporation
ORGANIZATIONPublication 110
ORGANIZATIONthe Department of Taxation and Finance
ORGANIZATION
Les Wexner
PERSON