FORM 1023-EZ for SUMMER CAMP OF BELLMORE & MERRICK CORP

Field Data
EIN 83-4667057
Case Number EO-2020013-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMMER CAMP OF BELLMORE & MERRICK CORP
Organization’s Mailing Address 2493 HULL AVENUE
City NORTH BELLMORE
State NY
ZIP 11710
Accounting period End 12
Primary contact name MICHAEL WASILESKI CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON SIMPKINS
SECRETARY
15 JOHNSON PLACE
OCEANSIDE NY 11572

Officer/Director/Trustee Two

ERIC CABALLERO
PRESIDENT
100 PARK AVE APT 9
AMITYVILLE NY 11701

Officer/Director/Trustee Three

ANN KAPRAT
TREASURER
2493 HULL AVENUE
NORTH BELLMORE NY 11710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 JON SIMPKINS
Signature Title SECRETARY
Signature Date 1/9/2020

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