FORM 1023-EZ for MBHS SCQ SUPPORT GROUP INC

Field Data
EIN 32-0575915
Case Number EO-2018261-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MBHS SCQ SUPPORT GROUP INC
Organization’s Mailing Address 770 IMPERIAL DRIVE
City BALDWIN
State NY
ZIP 11510
Accounting period End 12
Primary contact name LINCOLN FERGUSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINCOLN FERGUSON
PRESIDENT
770 IMPERIAL DRIVE
BALDWIN NY 11510

Officer/Director/Trustee Two

LINTON LYONS
TREASURER
114-08 200TH STREET
SAINT ALBANS NY 11412

Officer/Director/Trustee Three

LAURI STONE PHILLIPS
SECRETARY
3222 WICKHAM AVE
BRONX NY 10469

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
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 LINCOLN FERGUSON
Signature Title PRESIDENT
Signature Date 9/14/18

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