FORM 1023-EZ for EPIPHANY YOUTH CENTER INC

Field Data
EIN 32-0147865
Case Number EO-2019280-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EPIPHANY YOUTH CENTER INC
Organization’s Mailing Address 143 BRUCE STREET 5H
City YONKERS
State NY
ZIP 10705
Accounting period End 12
Primary contact name DERRICK HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK HILL
CONSULTANT
819 SOUTHLAND FOREST WAY
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

DESIRE SINGLETARY
BOARD MEMBER
61 ELWOOD STREET
NEW YORK NY 10040

Officer/Director/Trustee Three

ZAIRIA FINCH
BOARD MEMBER
173 W 141 ST 3B
NEW YORK NY 10030

Officer/Director/Trustee Four

ANNETTE HOWARD
BOARD MEMBER
471 JEFFERSON AVENUE
BROOKLYN NY 11221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 DERRICK HILL
Signature Title CONSULTANT
Signature Date 10/4/19

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