FORM 1023-EZ for KBL FOUNDATION INC

Field Data
EIN 83-3702724
Case Number EO-2019084-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KBL FOUNDATION INC
Organization’s Mailing Address 561 WEST 143RD STREET APT 57A
City NEW YORK
State NY
ZIP 10001
Accounting period End 12
Primary contact name VICTOR ALICEA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTOR ALICEA
PRESIDENT
561 WEST 143RD STREET APT 57A
NEW YORK NY 10001

Officer/Director/Trustee Two

SUE CLERGE
MEMBER
352 ROCKAWAY PARKWAY
VALLEY STREAM NY 11580

Officer/Director/Trustee Three

RACHEL LEVINE
MEMBER
400 CENTRAL PARK WEST APT 6K
NEW YORK NY 10025

Officer/Director/Trustee Four

QUISQUELLA ALVAREZ-SANABRIA
MEMBER
333 OCEANSIDE PARKWAY
OCEANSIDE NY 11572

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 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 VICTOR ALICEA
Signature Title PRESIDENT
Signature Date 3/21/19

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