FORM 1023-EZ for CROSSROADS CONNECTION INC

Field Data
EIN 43-3809796
Case Number EO-2021103-000562
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSROADS CONNECTION INC
Organization’s Mailing Address 557 GRAND CONCOURSE AVENUE STE 6075
City BRONX
State NY
ZIP 10451
Accounting period End 4
Primary contact name EVA LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE CLAY-CUMMINGS
BOARD CHAIR
500 GRAND CONCOURSE AVENUE
BRONX NY 10451

Officer/Director/Trustee Two

MASANI DAVIS
BOARD CO-CHAIR
793 FRANKLIN AVENUE
BROOKLYN NY 10451

Officer/Director/Trustee Three

SUZANNE OBOLER
BOARD MEMBER
116 PINEHURST AVENUE
NEW YORK NY 10033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2005
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name MASANI DAVIS
Signature Title BOARD CO-CHAIR
Signature Date 4/6/2021

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