FORM 1023-EZ for BALDWIN BLAZERS TRACK CLUB

Field Data
EIN 46-5101524
Case Number EO-2016258-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALDWIN BLAZERS TRACK CLUB
Organization’s Mailing Address 859 CENTENNIAL AVE
City BALDWIN
State NY
ZIP 11510
Accounting period End 12
Primary contact name CHANDEL MARION-BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANDEL MARION-BROWN
DIRECTOR
859 CENTENNIAL AVE
BALDWIN NY 11510

Officer/Director/Trustee Two

TERRENCE BROWN
ASSISTANT DIRECTOR
859 CENTENNIAL AVE
BALDWIN NY 11510

Officer/Director/Trustee Three

CARMEN FOSTER
TREASURER
847 KINGS HWY
BALDWIN NY 11510

Officer/Director/Trustee Four

ALECIA LEWIS
SECRETARY
11 LAWRENCE ROAD
HEMPSTEAD NY 11550

Officer/Director/Trustee Five

KIM CROOKS
SARGENT AT ARMS
1411 TANWOOD DRIVE
BALDWIN NY 11510

Organization’s website WWW.BALDWINBLAZERS.COM
Organization’s email BALDWINBLAZERS@OPTONLINE.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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
Signature Title
Signature Date

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