FORM 1023-EZ for FAIRY GODMOTHER FOUNDATION OF NEW YORK INC

Field Data
EIN 82-0769540
Case Number EO-2017089-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRY GODMOTHER FOUNDATION OF NEW YORK INC
Organization’s Mailing Address 39-29 222 ST
City BAYSIDE
State NY
ZIP 11361-2411
Accounting period End 12
Primary contact name KATHLEEN CAPITULO PHD RN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN CAPITULO PHD RN
PRESIDENT
39-29 222 STREET
BAYSIDE NY 11361-2411

Officer/Director/Trustee Two

ELIZABETH AYELLO PHD RN
DIRECTOR
209-14 82ND AVENUE
HOLLIS HILLS NY 11427-1020

Officer/Director/Trustee Three

MICHELLE RAE PINZON ESQ
DIRECTOR
189-25 45 AVENUE
FLUSHING NY 11358-3407

Officer/Director/Trustee Four

NANCY CINCOTTA
DIRECTOR
402 EAST 90 STREET - APT 6A
NEW YORK NY 10128-5136

Officer/Director/Trustee Five

MARIEL NASIS-MATUZA
DIRECTOR
47 PIONEER BLVD
SOUTH HUNTINGTON NY 11746-4423

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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
Signature Title
Signature Date

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