FORM 1023-EZ for GENTLEMENS ACADEMY

Field Data
EIN 83-3567182
Case Number EO-2019162-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENTLEMENS ACADEMY
Organization’s Mailing Address 21 LYNDE STREET
City PROVIDENCE
State RI
ZIP 2908
Accounting period End 12
Primary contact name KEITH PHILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH PHILLIS
DIRECTOR
52 FATIMA DRIVE
WARREN RI 2885

Officer/Director/Trustee Two

WARREN ROGEL
DIRECTOR, CHAIRMAN OF BOARD
21 LYNDE STREET
PROVIDENCE RI 2908

Officer/Director/Trustee Three

MARTIN QUIRK
DIRECTOR, EXECUTIVE DIRECTOR
75 SOUTH UNION STREET APT 316
PAWTUCKET RI 2860

Officer/Director/Trustee Four

YOVANNY VARGAS
DIRECTOR
270 LEGION WAY
CRANSTON RI 2910

Officer/Director/Trustee Five

CHRISTIAN MARTINEZ
DIRECTOR
105 BATH STREET APT 3
PROVIDENCE RI 2908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/19
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 No
Correctness Declaration Yes
Signature Name KEITH PHILLIS
Signature Title DIRECTOR
Signature Date 6/7/19

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