FORM 1023-EZ for SYB INSPIRED FOUNDATION INC

Field Data
EIN 83-1503440
Case Number EO-2019077-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SYB INSPIRED FOUNDATION INC
Organization’s Mailing Address 135 MADISON AVENUE SUITE 05-105
City NEW YORK
State NY
ZIP 10016
Accounting period End 12
Primary contact name SAMIR POONAWALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANTAS ZVINAS
DIRECTOR/PRESIDENT
20 EAST 22ND ST APT 4A
NEW YORK NY 10010

Officer/Director/Trustee Two

SAMIR POONAWALA
DIRECTOR/TREASURER
211 EAST 13TH ST APT 4H
NEW YORK NY 10003

Officer/Director/Trustee Three

KATIE BURKE
DIRECTOR/SECRETARY
1680 MISSOURI ST
SAN DIEGO CA 92109

Organization’s website WWW.SURFYOGABEER.COM/SYBEINSPIRED
Organization’s email SAMIR@SURFYOGABEER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 Yes
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 SAMIR POONAWALA
Signature Title DIRECTOR/TREASURER
Signature Date 3/14/19

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