FORM 1023-EZ for A-Z REPRESENTATIVE PAYEE 1 INC

Field Data
EIN 47-3279773
Case Number EO-2015110-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A-Z REPRESENTATIVE PAYEE 1 INC
Organization’s Mailing Address 61-43 186TH STREET
City FRESH MEADOWS
State NY
ZIP 11365
Accounting period End 4
Primary contact name TISHAUN COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TYRONE KIRTON
TREASURER
196-30 67TH AVENUE
FRESH MEADOWS NY 11365

Officer/Director/Trustee Two

SUSAN COOK
CHAIRMAN
22 METROPOLITAN OVAL
BRONX NY 10462

Officer/Director/Trustee Three

KIM COOK
SECRETARY
61-43 186TH STREET
FRESH MEADOWS NY 11365

Organization’s website AZPAYEE.COM
Organization’s email AZREPPAYEESVC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P51 - Financial Counseling, Money Management
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 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 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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