FORM 1023-EZ for GIVE ONE INC

Field Data
EIN 81-4924613
Case Number EO-2017039-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIVE ONE INC
Organization’s Mailing Address 45 E 9TH STREET APT 10
City NEW YORK
State NY
ZIP 10003
Accounting period End 12
Primary contact name SAMANTHA ORLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA ORLEY
PRESIDENT/TREASURER
45 E 9TH STREET APT 10
NEW YORK NY 10003

Officer/Director/Trustee Two

EMMETT SHINE
VICE PRESIDENT
312 BOWERY APT 401
NEW YORK NY 10012

Officer/Director/Trustee Three

JULIA ARNHOLD
SECRETARY
374 BROOME STREET APT 3 SOUTH
NEW YORK NY 10013

Officer/Director/Trustee Four

MATT KLIEGMAN
DIRECTOR
250 DEAN STREET
BROOKLYN NY 11217

Officer/Director/Trustee Five

DMITRI VASSILEV
DIRECTOR
250 BROOME STREET 21
NEW YORK NY 10002

Organization’s website
Organization’s email SAMANTHA.ORLEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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
Signature Title
Signature Date

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