FORM 1023-EZ for MILLENNIAL PROFESSIONAL GROUP OF RHODE ISLAND

Field Data
EIN 47-5114093
Case Number EO-2015273-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLENNIAL PROFESSIONAL GROUP OF RHODE ISLAND
Organization’s Mailing Address 123 DYER STREET UNIT 2B
City PROVIDENCE
State RI
ZIP 02903
Accounting period End 12
Primary contact name DYLAN CONLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRAVIS ESCOBAR
PRESIDENT
167 WEBSTER AVE
PROVIDENCE RI 02909

Officer/Director/Trustee Two

MATT COUPE
TREASURER
464 ROCKY HILL ROAD
NORTH SCITUATE RI 02857

Officer/Director/Trustee Three

JORDAN DAY
EXECUTIVE VICE PRESIDENT
72 MODENA AVE
PROVIDENCE RI 02908

Officer/Director/Trustee Four

DIONY GARCIA
EXECUTIVE VICE PRESIDENT
16 WALLACE STREET
PROVIDENCE RI 02909

Officer/Director/Trustee Five

NIYOKA POWELL
SECRETARY
196 WINDMILL STREET
PROVIDENCE RI 02904

Organization’s website WWW.MILLENNIALRI.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2014
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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