FORM 1023-EZ for CLARK CENTER NYC INC

Field Data
EIN 81-3188943
Case Number EO-2016362-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARK CENTER NYC INC
Organization’s Mailing Address 293 RIVERSIDE DRIVE APT 2C
City NEW YORK
State NY
ZIP 10025
Accounting period End 12
Primary contact name AMANDA H NUSSBAUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL WILLIAMS
DIRECTOR AND PRESIDENT
293 RIVERSIDE DRIVE APT 2C
NEW YORK NY 10025

Officer/Director/Trustee Two

SHELIA ROHAN
DIRECTOR AND SECRETARY
278 CROSSE DRIVE APT 1F
MONROE TWP NJ 08831

Officer/Director/Trustee Three

JOAN CHANIN
DIRECTOR AND TREASURER
209 FORT WORTH STREET
HAMPTON VA 23369

Officer/Director/Trustee Four

RAMONA CANDY
VICE PRESIDENT
195 WILLOUGHBY AVE APT 709
BROOKLYN NY 11205

Organization’s website CLARKCENTERNYC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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