FORM 1023-EZ for LIBERTY SPORTS CLUB INC

Field Data
EIN 46-0654891
Case Number EO-2015149-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIBERTY SPORTS CLUB INC
Organization’s Mailing Address 103-25 105 STREET
City OZONE PARK
State NY
ZIP 11417
Accounting period End 12
Primary contact name DANESH DEONARAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANESH DEONARAIN
VICE-PRESIDENT/DIRECTOR
45 Derby St
VALLEY STREAM NY 11581

Officer/Director/Trustee Two

TAKNAUTH KHILAWAN
PRESIDENT/DIRECTOR
103-25 105ST
OZONE PARK NY 11417

Officer/Director/Trustee Three

JESSICA DEONARAIN
TREASURER/DIRECTOR
45 Derby St
VALLEY STREAM NY 11581

Officer/Director/Trustee Four

AVITA SUKHRAM
SECRETARY
1115 BROADWAY
ASTORIA NY 11106

Officer/Director/Trustee Five

ANNETTE BALKISOON
EVENTS COORDINATOR
150-35 114 PLACE
SOUTH OZONE PARK NY 11420

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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