FORM 1023-EZ for Y SERVICE CLUBS OF NORTH ATLANTIC REGION INC

Field Data
EIN 85-3363103
Case Number EO-2021097-001405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name Y SERVICE CLUBS OF NORTH ATLANTIC REGION INC
Organization’s Mailing Address 30 CREST DR
City WHITE PLAINS
State NY
ZIP 10607
Accounting period End 6
Primary contact name JOSEPH KANJAMALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH KANJAMALA
PRESIDENT/REGIONAL DIRECTOR
30 CREST DR
WHITE PLAINS NY 10607

Officer/Director/Trustee Two

EDWIN KATTHI
SECRETARY
437 FORTHILL ROAD
SCARSDALE NY 10583

Officer/Director/Trustee Three

DAVID WORKMAN
TREASURER
10 AZALEA DRIVE
ANDOVER MA 01810

Officer/Director/Trustee Four

MATHEW CHAMAKKALA
DIRECTOR
12 DEXTER STREET
SELDEN NY 11784

Officer/Director/Trustee Five

ALEX MATHEW
DIRECTOR
872 ABBOTT STREET
EAST MEADOW NY 11554

Organization’s website
Organization’s email JOKANJAMALA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
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 JOSEPH KANJAMALA
Signature Title PRESIDENT/REGIONAL DIRECTOR
Signature Date 3/16/2021

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