FORM 1023-EZ for PROM PLUS NYC INCORPORATED

Field Data
EIN 84-2106770
Case Number EO-2019235-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROM PLUS NYC INCORPORATED
Organization’s Mailing Address 250 WEST 50TH STREET APT 38C
City NEW YORK
State NY
ZIP 10019
Accounting period End 12
Primary contact name LOREN DOUGLASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE DOUGLASS
FOUNDER & CEO
250 WEST 50TH STREET APT 38C
NEW YORK NY 10019

Officer/Director/Trustee Two

KERRI JACKSON
ASSOCIATE DIRECTOR
250 WEST 50TH STREET APT 38C
NEW YORK NY 10019

Officer/Director/Trustee Three

LOREN DOUGLASS
BOARD MEMBER
250 WEST 50TH STREET APT 38C
NEW YORK NY 10019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE DOUGLASS
Signature Title FOUNDER & CEO
Signature Date 8/21/19

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