FORM 1023-EZ for THE SILVER LAKE FOUNDATION INC

Field Data
EIN 83-1874318
Case Number EO-2018306-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SILVER LAKE FOUNDATION INC
Organization’s Mailing Address 203 PORT RICHMOND AVE
City STATEN ISLAND
State NY
ZIP 10302
Accounting period End 12
Primary contact name SHAWN STRADFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN STRADFORD
PRESIDENT
1241 CASTLETON AVENUE
STATEN ISLAND NY 10310

Officer/Director/Trustee Two

DONALD JOSEY
TREASURER
203 PORT RICHMOND AVENUE
STATEN ISLAND NY 10302

Officer/Director/Trustee Three

JACQUELINE LOPARDO
SECRETARY
203 PORT RICHMOND AVENUE
STATEN ISLAND NY 10302

Officer/Director/Trustee Four

KELLY ETHERIDGE
DIRECTOR
10 TAYLOR CT
STATEN ISLAND NY 10310

Officer/Director/Trustee Five

TINA JEFFERSON
DIRECTOR
1136 ELDERT LANE
BROOKLYN NY 11208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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 SHAWN STRADFORD
Signature Title PRESIDENT
Signature Date 10/31/18

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