FORM 1023-EZ for KNICKERBOCKER GREYS

Field Data
EIN 13-6001172
Case Number EO-2016118-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNICKERBOCKER GREYS
Organization’s Mailing Address 643 PARK AVENUE
City NEW YORK
State NY
ZIP 10065
Accounting period End 12
Primary contact name CARRIE YOUNGBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA PTUCHA
PRESIDENT
300 EAST 59TH STREET APT 2606
NEW YORK NY 10022

Officer/Director/Trustee Two

STEPHANIE TOMLIN
VICE PRESIDENT
1481 FIFTH AVENUE APT 9C
NEW YORK NY 10036

Officer/Director/Trustee Three

ADRIENNE ROGATNICK
VICE PRESIDENT
140 EAST 95TH STREET
NEW YORK NY 10128

Officer/Director/Trustee Four

CHRIS MCKEON
SECRETARY
305 EAST 40TH STREET APT 4R
NEW YORK NY 10016

Officer/Director/Trustee Five

CARRIE YOUNGBERG
TREASURER
305 EAST 40TH STREET APT 9S
NEW YORK NY 10016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date ###############################################################################################################################################################################################################################################################
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
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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