FORM 1023-EZ for HERMILLION INC

Field Data
EIN 85-1994845
Case Number EO-2020203-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERMILLION INC
Organization’s Mailing Address 1490 DUMONT AVE APT 8C
City BROOKLYN
State NY
ZIP 11208
Accounting period End 12
Primary contact name JESSICA SANCHEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA SANCHEZ
PRESIDENT
1490 DUMONT AVE APT 8C
BROOKLYN NY 11208

Officer/Director/Trustee Two

CLEAVLON BROOKS
TREASURER
81-55 102 RD
QUEENS NY 11416

Officer/Director/Trustee Three

SHAUNIE WALKER
VICE PRESIDENT
112 POMPTON AVE 2ND FLOOR
VERONA NJ 07044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P83 - Senior Centers
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 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 JESSICA SANCHEZ
Signature Title PRESIDENT
Signature Date 7/16/2020

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