FORM 1023-EZ for CHILDREN OF ANSELM INCORPORATED

Field Data
EIN 84-4339811
Case Number EO-2020021-000589
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHILDREN OF ANSELM INCORPORATED
Organization’s Mailing Address 613 VIEWPOINT TERRACE
City PEEKSKILL
State NY
ZIP 10566
Accounting period End 12
Primary contact name CLEOPATRA CHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLEOPATRA CHARLES
CHIEF EXECUTIVE OFFICER & TRUSTEE
613 VIEWPOINT TERRACE
PEEKSKILL NY 10566

Officer/Director/Trustee Two

BRENT CHARLES
TREASURER & TRUSTEE
5325 5TH STREET NW
WASHINGTON DC 20011

Officer/Director/Trustee Three

BERYL CHARLES
SECRETARY & TRUSTEE
1 CURRAN COURT APT 3C
YONKERS NY 10710

Organization’s website N/A
Organization’s email CLEOPATRA.CHARLES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 CLEOPATRA CHARLES
Signature Title CHIEF EXECUTIVE OFFICER & TRUSTEE
Signature Date 1/17/2020

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