FORM 1023-EZ for TAKE THIS PHONE AND GLOVE IT INC

Field Data
EIN 35-2519096
Case Number EO-2014346-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAKE THIS PHONE AND GLOVE IT INC
Organization’s Mailing Address 90 ASH DRIVE
City ROSLYN
State NY
ZIP 11576
Accounting period End 12
Primary contact name MICHELLE LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON LIPETZ
DIRECTOR/PRESIDENT
90 ASH DRIVE
ROSLYN NY 11576

Officer/Director/Trustee Two

ERIKA LIPETZ
DIRECTOR
90 ASH DRIVE
ROSLYN NY 11576

Officer/Director/Trustee Three

JONATHAN COHEN
DIRECTOR
22 FARMSTEAD LANE
BROOKVILLE NY 11545

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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