FORM 1023-EZ for BUSHWICK UNITED SENIORS INC

Field Data
EIN 84-4687897
Case Number EO-2020115-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUSHWICK UNITED SENIORS INC
Organization’s Mailing Address 1139 BUSHWICK AVE
City BROOKLYN
State NY
ZIP 11221
Accounting period End 12
Primary contact name LINDA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA JOHNSON
DIRECTOR
1139 BUSHWICK AVE
BROOKLYN NY 11221

Officer/Director/Trustee Two

SHIRLEY TERRY
CO. DIRECTOR
1139 BUSHWICK AVE
BROOKLYN NY 11221

Officer/Director/Trustee Three

JOSLYN COPPIN
TRUSTEE
1139 BUSHWICK AVE
BROOKLYN NY 11221

Officer/Director/Trustee Four

LUCY LEWIS
MEMBER
1139 BUSHWICK AVE
BROOKLYN NY 11221

Officer/Director/Trustee Five

HELEN BROADWAY
MEMBER
1139 BUSHWICK AVE
BROOKLYN NY 11221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 No
One Third Support Gifts No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LINDA JOHNSON
Signature Title DIRECTOR
Signature Date 4/22/2020

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