FORM 1023-EZ for THE COMEBACK KIDS FOUNDATION INCORPORATED

Field Data
EIN 83-2413117
Case Number EO-2018309-000499
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COMEBACK KIDS FOUNDATION INCORPORATED
Organization’s Mailing Address 105 SHOREHAM WAY
City MERRICK
State NY
ZIP 11566
Accounting period End 12
Primary contact name JACQUELINE FIORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE FIORE
DIRECTOR
105 SHOREHAM WAY
MERRICK NY 11566

Officer/Director/Trustee Two

ALEXANDRA MONTE
OFFICER
160 KENSINGTON ROAD
GARDEN CITY NY 11530

Officer/Director/Trustee Three

ANTONIA PALMERI
TRUSTEE
95 AMHERST STREET
GARDEN CITY NY 11530

Officer/Director/Trustee Four

DOUG MUHLBAUER
TRUSTEE
105 SHOREHAM WAY
MERRICK NY 11530

Officer/Director/Trustee Five

LOUIS FIORE
TRUSTEE
82 WYATT ROAD
GARDEN CITY NY 11530

Organization’s website WWW.THECOMEBACKKIDSFOUNDATION.COM
Organization’s email INFO@THECOMEBACKKIDSFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACQUELINE FIORE
Signature Title DIRECTOR
Signature Date 11/2/18

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