FORM 1023-EZ for KONSTELLATIONS FOUNDATION INCORPORATED

Field Data
EIN 82-4166414
Case Number EO-2018288-000562
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KONSTELLATIONS FOUNDATION INCORPORATED
Organization’s Mailing Address 111-04 180TH STREET
City JAMAICA
State NY
ZIP 11433
Accounting period End 1
Primary contact name LEON ST CHARLES GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEON ST CHARLES GRANT
EXECUTIVE DIRECTOR
168-05 144TH TERRACE
JAMAICA NY 11434

Officer/Director/Trustee Two

LOVELL LAWRENCE
DIRECTOR
679 E 96TH STREET
BROOKLYN NY 11236

Officer/Director/Trustee Three

SERENA QI LU
DIRECTOR
1157A E 15TH STREET APT 1F
BROOKLYN NY 11230

Officer/Director/Trustee Four

NATALIE MOVING-RICHARDS
DIRECTOR
117-41 NASHVILLE BLVD
JAMAICA NY 11411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name LEON ST CHARLES GRANT
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/12/18

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