FORM 1023-EZ for ROCHDALE VILLAGE COOPERATORS CIVICASSOCIATION INC

Field Data
EIN 85-2114496
Case Number EO-2021165-000638
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCHDALE VILLAGE COOPERATORS CIVICASSOCIATION INC
Organization’s Mailing Address 172-20 133RD AVE APT 2D
City JAMAICA
State NY
ZIP 11434-3913
Accounting period End 12
Primary contact name JUSTIN GOLDBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLIFTON DIAZ
DIRECTOR
172-20 133RD AVE APT 2D
JAMAICA NY 11434-3913

Officer/Director/Trustee Two

ROBERT EDWARDS
DIRECTOR
163-67 130TH AVE APT 9D
JAMAICA NY 11434-3913

Officer/Director/Trustee Three

BETTY WILLIAMS
DIRECTOR
170-34 130TH AVE APT 12D
JAMAICA NY 11434-3913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 CLIFTON DIAZ
Signature Title DIRECTOR
Signature Date 6/11/2021

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