FORM 1023-EZ for MISSION NORTH YOUTH ATHLETIC PARTNERS INC

Field Data
EIN 81-1386172
Case Number EO-2016175-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSION NORTH YOUTH ATHLETIC PARTNERS INC
Organization’s Mailing Address PO BOX 290
City NEW YORK
State NY
ZIP 10013
Accounting period End 12
Primary contact name LINDSAY MACIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDSAY MACIK
DIRECTOR
64 LINCOLN ROAD APT 3D
BROOKLYN NY 11225

Officer/Director/Trustee Two

JENNIFER JAKOBOSKI
DIRECTOR
134 ORCHARD STREET
NEW YORK NY 10002

Officer/Director/Trustee Three

SHELBY MACIK
DIRECTOR
2 GARY DRIVE
MIDDLETOWN NJ 07748

Organization’s website MISSION-NORTH.ORG
Organization’s email LINDSAY@MISSIONNORTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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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