FORM 1023-EZ for COMMUNITY ACTION RESPONSE EMERGENCYUNIT 911

Field Data
EIN 47-5667696
Case Number EO-2015337-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY ACTION RESPONSE EMERGENCYUNIT 911
Organization’s Mailing Address 1032 BEACH 20TH STREET
City FAR ROCKAWAY
State NY
ZIP 11691
Accounting period End 12
Primary contact name NANCY MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NANCY MARTINEZ
PRESIDENT
1032 BEACH 20TH STREET
FAR ROCKAWAY NY 11691

Officer/Director/Trustee Two

GREGORY YORK
VICE PRESIDENT
1220 DUTCH BROADWAY
NORTH VALLEY STREAM NY 11580

Officer/Director/Trustee Three

RUDOLPH MUHAMMAD
TREASURE
287 LEFFERTS AVENUE
BROOKLYN NY 11225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E62 - Ambulance, Emergency Medical Transport Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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
Signature Title
Signature Date

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