FORM 1023-EZ for CHARITY GAMING INC

Field Data
EIN 47-3024660
Case Number EO-2015191-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARITY GAMING INC
Organization’s Mailing Address 901 WILLOW AVE UNIT 4
City HOBOKEN
State NJ
ZIP 07030
Accounting period End 12
Primary contact name JIMMY WELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANET ALEXANDER
TRUSTEE
226 DOUGLAS ROAD
STATEN ISLAND NY 10304

Officer/Director/Trustee Two

RAIMONDA CLARK
TRUSTEE
148 COVERLY AVE
STATEN ISLAND NY 10301

Officer/Director/Trustee Three

ROBERT BROWN
TRUSTEE
318 SOUTH RAILROAD STREET
STATEN ISLAND NY 10312

Officer/Director/Trustee Four

DAVID WELLER
TRUSTEE
22 N 6TH STREET
BROOKLYN NY 11249

Officer/Director/Trustee Five

JIMMY WELLER
TRUSTEE
901 WILLOW AVE APT 4
HOBOKEN NJ 07030

Organization’s website WWW.CHARITY-GAMING.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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