FORM 1023-EZ for 106 RQW FRG PO INC

Field Data
EIN 81-1070262
Case Number EO-2016138-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 106 RQW FRG PO INC
Organization’s Mailing Address 14 SEA GATE AVENUE
City WESTHAMPTON
State NY
ZIP 11977-1120
Accounting period End 12
Primary contact name DEBORAH KRUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH KRUK
PRESIDENT
PO BOX 104
WESTHAMPTON NY 11977

Officer/Director/Trustee Two

ANNE ARNDT
VICE PRESIDENT
12 PARSON LANE
NISSEQUOGUE NY 11780

Officer/Director/Trustee Three

ANNA GLOD
TREASURER
9 MEADOWLAWN ST
HUNTINGTON NY 11743

Organization’s website
Organization’s email 106RQWFRGPO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
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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