FORM 1023-EZ for ETA CHI LAMBDA COMMUNITY SERVICE FUND INC

Field Data
EIN 13-4185560
Case Number EO-2017076-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ETA CHI LAMBDA COMMUNITY SERVICE FUND INC
Organization’s Mailing Address P O BOX 1153
City NEW CITY
State NY
ZIP 10956
Accounting period End 12
Primary contact name SAMUEL HERCULES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL HERCULES
PRESIDENT
11971 178TH STREET
JAMAICA NY 11434-1962

Officer/Director/Trustee Two

GODWIN ST LOUIS
SECRETARY
15 WHITE BIRCH CT
NEW CITY NY 10956

Officer/Director/Trustee Three

STERLING INZAR
TREASURER
7 KLINGHER CT
POMONA NY 10970

Officer/Director/Trustee Four

KENNETH JACKSON
DIRECTOR
20 DAVID DRIVE
NEW HEMPSTEAD NY 10977

Officer/Director/Trustee Five

COREY TURNER
DIRECTOR
313 NORTH MAIN STREET
SPRING VALLEY NY 10977

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2001
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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