FORM 1023-EZ for BRIARWOOD ACTION NETWORK

Field Data
EIN 45-4295347
Case Number EO-2015226-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRIARWOOD ACTION NETWORK
Organization’s Mailing Address PO BOX 356068
City BRIARWOOD
State NY
ZIP 11435-6068
Accounting period End 12
Primary contact name AIDA VERNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AIDA VERNON
PRESIDENT
85-15 MAIN STREET APT 9D
BRIARWOOD NY 11435-1856

Officer/Director/Trustee Two

LARRY SHERMAN
TREASURER
139-15 83RD AVENUE APT 138
BRIARWOOD NY 11435-1515

Officer/Director/Trustee Three

CRYSTAL COURTS
SECRETARY
141-60 84TH ROAD APT 5G
BRIARDWOOD NY 11435-1958

Officer/Director/Trustee Four

SYLVIA SHERMAN
VICE PRESIDENT
139-15 83RD AVENUE APT 138
BRIARWOOD NY 11435-1515

Officer/Director/Trustee Five

EUGENE LEON
DIRECTOR
83-35 139TH STREET APT 15
BRIARWOOD NY 11435-1625

Organization’s website WWW.BRIARWOODACTIONNETWORK.COM
Organization’s email BRIARWOODACTIONNETWORK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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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