FORM 1023-EZ for EAST CAMDEN YOUTH ASSOCIATION

Field Data
EIN 84-3892781
Case Number EO-2020066-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAST CAMDEN YOUTH ASSOCIATION
Organization’s Mailing Address 33 SOUTH 38TH STREET
City CAMDEN
State NJ
ZIP 08105
Accounting period End 11
Primary contact name FALIO LEYBA-MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FALIO LEYBA-MARTINEZ
PRESIDENT
33 SOUTH 38TH STREET
CAMDEN NJ 08105

Officer/Director/Trustee Two

ANEIDA HENRIQUEZ
SECRATARY
33 SOUTH 38TH STREET
CAMDEN NJ 08105

Officer/Director/Trustee Three

KEVIN PALVANO-GONZALEZ
TRESURER
504 PHIFFER STREET
CAMDEN NJ 08105

Organization’s website CNBSA.SIPLAY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 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 FALIO LEYBA-MARTINEZ
Signature Title PRESIDENT
Signature Date 3/4/2020

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