FORM 1023-EZ for NON-PROFIT INDEPENDENT CONSULTANTSINC

Field Data
EIN 26-2380155
Case Number EO-2018205-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NON-PROFIT INDEPENDENT CONSULTANTSINC
Organization’s Mailing Address 2630 KINGSBRIDGE
City BRONX
State NY
ZIP 10463
Accounting period End 6
Primary contact name JANICE GIVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE GIVENS
CEO
2630 KINGSBRIDGE TERRACE 1Y
BRONX NY 10463

Officer/Director/Trustee Two

GEORGE DANIEL
CFO
2630 KINGSBRIDGE TERRACE 1Y
BRONX NY 10460

Officer/Director/Trustee Three

DESHAWN ISAAC
DIRECTOR OF PROGRAMS
30 WEST 141 STREET
NEW YORK NY 10037

Organization’s website N/A
Organization’s email JFULLWOOD@AMETHYSTRESIDENCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/13
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANICE GIVENS
Signature Title CEO
Signature Date 7/22/18
EIN 26-2380155
Case Number EO-2018205-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NON-PROFIT INDEPENDENT CONSULTANTS INC
Organization’s Mailing Address 2630 KINGSBRIDGE
City BRONX
State NY
ZIP 10463
Accounting period End 6
Primary contact name JANICE GIVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE GIVENS
CEO
2630 KINGSBRIDGE TERRACE 1Y
BRONX NY 10463

Officer/Director/Trustee Two

GEORGE DANIEL
CFO
2630 KINGSBRIDGE TERRACE 1Y
BRONX NY 10460

Officer/Director/Trustee Three

DESHAWN ISAAC
DIRECTOR OF PROGRAMS
30 WEST 141 STREET
NEW YORK NY 10037

Organization’s website N/A
Organization’s email JFULLWOOD@AMETHYSTRESIDENCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/13
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANICE GIVENS
Signature Title CEO
Signature Date 7/22/18

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