FORM 1023-EZ for PLUS ONE FITNESS

Field Data
EIN 84-3548875
Case Number EO-2020038-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLUS ONE FITNESS
Organization’s Mailing Address 132 HILLSIDE WAY
City CAMILLUS
State NY
ZIP 13031
Accounting period End 12
Primary contact name HENRY BRIGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY BRIGHAM
DIRECTOR/FOUNDER
132 HILLSIDE WAY
CAMILLUS NY 13031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 HENRY BRIGHAM
Signature Title FOUNDER
Signature Date 2/5/2020

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