FORM 1023-EZ for NEW YORK DISTRICT CIRCLE K ALUMNI ASSOCIATION

Field Data
EIN 47-2804722
Case Number EO-2015021-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW YORK DISTRICT CIRCLE K ALUMNI ASSOCIATION
Organization’s Mailing Address 84 NEW DORP PLAZA STE 206
City STATEN ISLAND
State NY
ZIP 10306-2905
Accounting period End 12
Primary contact name SEAN OSULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC PAUL
PRESIDENT
99 HEMLOCK DRIVE
WEST SENECA NY 14224

Officer/Director/Trustee Two

RICHARD HALL
VP
65 SHORE ROAD
GLEN COVE NY 11542

Officer/Director/Trustee Three

NICOLE KENNEDY
SECRETARY
333 EAST 8TH STREET APT 1E
NEW YORK NY 10027

Officer/Director/Trustee Four

SEAN OSULLIVAN
TREASURER
84 NEW DORP PLAZA STE 206
STATEN ISLAND NY 10306

Officer/Director/Trustee Five

JASON STEINER
DIRECTOR
6836 108TH STREET
FOREST HILLS NY 11375

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2014
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: Yes
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 Yes
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
Signature Title
Signature Date

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