FORM 1023-EZ for BRIDGE BUILDER CAMP INC

Field Data
EIN 45-4826510
Case Number EO-2016239-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRIDGE BUILDER CAMP INC
Organization’s Mailing Address 200 LENOX AVENUE SUITE 2
City NEW YORK
State NY
ZIP 10027
Accounting period End 12
Primary contact name EDWARD POTEAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL SMITH
PRESIDENT
114 COOPER STREET APT 3
BROOKLYN NY 11207

Officer/Director/Trustee Two

TAKARA ROOKS
CO-DIRECTOR
47 BONITA VISTA DRIVE
MOUNT VERNON NY 10552

Officer/Director/Trustee Three

CHRISTOPHER JAMES
CO-DIRECTOR
304 W 149TH STREET
NEW YORK NY 10039

Officer/Director/Trustee Four

LAURA POTEAT
CO-DIRECTOR
1295 5TH AVENUE
NEW YORK NY 10029

Officer/Director/Trustee Five

ROGER MORSE
CO-DIRECTOR
531 W 111TH STREET
NEW YORK NY 10025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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