FORM 1023-EZ for NOT SO CHURCHY

Field Data
EIN 84-2418096
Case Number EO-2019324-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOT SO CHURCHY
Organization’s Mailing Address 648 BROADWAY ROOM 906
City NEW YORK
State NY
ZIP 10012
Accounting period End 12
Primary contact name MIEKE VANDERSALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIEKE VANDERSALL
COORDINATOR
165 CHRISTOPHER STREET APT 4R
NEW YORK NY 10014

Officer/Director/Trustee Two

CYBELE GOUVERNEUR
BOARD MEMBER
227 WEST 1ST STREET APT 4
NEW YORK NY 10011

Officer/Director/Trustee Three

MATTHEW DIMMICK
BOARD MEMBER
565 WEST 175TH STREET APT 52
NEW YORK NY 10033

Officer/Director/Trustee Four

JACOB SLICHTER
BOARD MEMBER
319 NEW YORK AVENUE APT B4
BROOKLYN NY 11213

Officer/Director/Trustee Five

HANNAH SOLDNER
BOARD MEMBER
312 SCHENECTADY AVE APT 2
BROOKLYN NY 11213

Organization’s website NOTSOCHURCHY.ORG
Organization’s email MIEKE@NOTSOCHURCHY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
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 MIEKE VANDERSALL
Signature Title COORDINATOR
Signature Date 11/18/19

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