FORM 1023-EZ for OXYGEN WORSHIP INC

Field Data
EIN 81-5480982
Case Number EO-2019036-000900
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OXYGEN WORSHIP INC
Organization’s Mailing Address 99 WASHINGTON AVENUE
City ALBANY
State NY
ZIP 12231
Accounting period End 12
Primary contact name MARICELY PINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARICELY PINO
PRESIDENT
441 SOUTH 5TH AVE
MOUNT VERNON NY 10550

Officer/Director/Trustee Two

YOSANNY PEREZ
SECRETARY
914 SIMPSON STREET 2ND FLOOR
BRONX NY 10463

Officer/Director/Trustee Three

JACOB GRIS
TREASURER
2630 KINGSBRIDGE TERRACE APT 5VA
BRONX NY 10463

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARICELY PINO
Signature Title PRESIDENT
Signature Date 1/21/19

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