FORM 1023-EZ for QUEEN SUGAR HONEY ICE TEA INC

Field Data
EIN 83-1116940
Case Number EO-2019028-000033
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEEN SUGAR HONEY ICE TEA INC
Organization’s Mailing Address 952 ST MARKS AVE APT A3
City BROOKLYN
State NY
ZIP 11213
Accounting period End 12
Primary contact name MICHELLE PATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE PATRICK
PRESIDENT
952 ST MARKS AVENUE APT A3
BROOKLYN NY 11213

Officer/Director/Trustee Two

SHAQUANA JACKSON
SECRETARY
1960 PARK AVE APT 14F
NEW YORK NY 10037

Officer/Director/Trustee Three

RAQUEL BASS
TREASURER
180 TROY AVENUE APT 3K
BROOKLYN NY 11213

Officer/Director/Trustee Four

DARIA ALSTON
TREASURER
1211 LORING AVENUE APT 2F
BROOKLYN NY 11208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE PATRICK
Signature Title PRESIDENT
Signature Date 12/12/18

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