FORM 1023-EZ for BE YOURSELF INC

Field Data
EIN 82-1545119
Case Number EO-2017157-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BE YOURSELF INC
Organization’s Mailing Address 245 MILL RD
City STATEN ISLAND
State NY
ZIP 10306
Accounting period End 12
Primary contact name HAROLD WISE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD WISE
EXECUTIVE DIRECTOR
245 MILL RD
STATEN ISLAND NY 10306

Officer/Director/Trustee Two

TAMARA WISE
BOARD OF DIRECTOR
43 TOMPKINS AV E
STATEN ISLAND NY 10304

Officer/Director/Trustee Three

REV MAGGIE HOWARD
EXECUTIVE DIRECTOR
43 TOMPKINS AVE
STATEN ISLAND NY 10304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State NY
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: Yes
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
Signature Title
Signature Date

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