FORM 1023-EZ for PRICILA NEW YORK INC

Field Data
EIN 83-3446354
Case Number EO-2019305-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRICILA NEW YORK INC
Organization’s Mailing Address 6 HELEN CT
City VALLEY STREAM
State NY
ZIP 11581
Accounting period End 12
Primary contact name MD A RAHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MD RAHMAN
PRESIDENT
6 HELEN CT
VALLEY STREAM NY 11581

Officer/Director/Trustee Two

FATEMA PRICILA
DIRECTOR
6 HELEN CT
VALLEY STREAM NY 11581

Officer/Director/Trustee Three

ROMANA AKTAR
DIRECTOR
8050 BAXTER AVENUE APT 4A
ELMHURST NY 11373

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 MD RAHMAN
Signature Title PRESIDENT
Signature Date 10/29/19

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