FORM 1023-EZ for CENTENNIAL HOUSING INC

Field Data
EIN 82-4141322
Case Number EO-2018026-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTENNIAL HOUSING INC
Organization’s Mailing Address 1537 LONGFELLOW AVENUE
City BRONX
State NY
ZIP 10460
Accounting period End 12
Primary contact name SANDRA FARRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA FARRELL
CEO
1537 LONGFELLOW AVENUE
BRONX NY 10460

Officer/Director/Trustee Two

DAVID NEWTON
CEO
301 CONSTITUTION AVENUE
BAYONNE NJ 7002

Officer/Director/Trustee Three

STASHAUNA KELLY-NEWTON
CEO
301 CONSTITUTION AVENUE
BAYONNE NJ 7002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 SANDRA FARRELL
Signature Title CEO
Signature Date 1/24/18

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