FORM 1023-EZ for ST GABRIEL HUMAN SERVICES INC

Field Data
EIN 80-0851521
Case Number EO-2015251-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST GABRIEL HUMAN SERVICES INC
Organization’s Mailing Address 1412 NEW YORK AVE APT 4 F
City BROOKLYN
State NY
ZIP 11210
Accounting period End 12
Primary contact name INGRID GAUTHIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

INGRID GAUTHIER
PRESIDENT
1412 NEW YORK AVE APT 4F
BROOKLYN NY 11210

Officer/Director/Trustee Two

GERDA DAMAS
TREASURE
435 BEE GEE CT
HEMPSTEAD NY 11552

Officer/Director/Trustee Three

PAUL JADOTTE
VICE PRESIDENT
111 OCEAN AVE APT 406
BROOKLYN NY 11230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2012
Organization Incorporation State
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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