FORM 1023-EZ for AMPLIFY PELHAM SCIENCE RESEARCH INC

Field Data
EIN 84-3621801
Case Number EO-2019316-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMPLIFY PELHAM SCIENCE RESEARCH INC
Organization’s Mailing Address 177A EAST MAIN STREET NO 403
City NEW ROCHELLE
State NY
ZIP 10801
Accounting period End 12
Primary contact name SIDDHARTH JAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT J MIN
PRESIDENT
29 WITHERBEE AV
PELHAM NY 10803

Officer/Director/Trustee Two

JENNIFER UPTON
VICE PRESIDENT
930 PLYMOUTH ST
PELHAM NY 10803

Officer/Director/Trustee Three

SHERI SALTZMAN
SECRETARY
29 WITHERBEE AV
PELHAM NY 10803

Officer/Director/Trustee Four

SIDDHARTH JAIN
TREASURER
4 BANCKER PL
NEW ROCHELLE NY 10805

Organization’s website
Organization’s email INFO@AMPLIFYPELHAMSCIENCERESEARCH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SIDDHARTH JAIN
Signature Title TREASURER
Signature Date 11/7/19

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