FORM 1023-EZ for EMPIRE ATHLETICS FOUNDATION CORP

Field Data
EIN 85-0748280
Case Number EO-2020111-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPIRE ATHLETICS FOUNDATION CORP
Organization’s Mailing Address 630 SHORE RD APT 302
City LONG BEACH
State NY
ZIP 11561
Accounting period End 12
Primary contact name CHRISTINA RAITI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA RAITI
PRESIDENT
97 MANITOU TRAIL
KINGS PARK NY 11754

Officer/Director/Trustee Two

EDWARD PARRY
DIRECTOR
131 BROOKVILLE RD
GLEN HEAD NY 11545

Officer/Director/Trustee Three

DEREK KLEIN
DIRECTOR
630 SHORE RD APT 302
LONG BEACH NY 11561

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTINA RAITI
Signature Title PRESIDENT
Signature Date 4/17/2020

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