FORM 1023-EZ for CLUB ALLYANZE INC

Field Data
EIN 46-1187913
Case Number EO-2014272-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLUB ALLYANZE INC
Organization’s Mailing Address 216-11 110TH STREET
City QUEENS VILLAGE
State NY
ZIP 11429
Accounting period End 12
Primary contact name DENISE TOMBLINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENISE TOMBLINSON
EXECUTIVE DIRECTOR
17 SOUTH AVENUE
STATEN ISLAND NY 10303

Officer/Director/Trustee Two

CLAUDIA BROWN
FINANCIAL DIRECTOR
216-11 110 AVENUE
QUEENS NY 11429

Officer/Director/Trustee Three

CLAUDIA HERDSMAN
ADFMINISTRATIVE DIRECTOR
1902 ROCKAWAY PARKWAY
BROOKLYN NY 11236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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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