FORM 1023-EZ for BACK 2 BASICS ACADEMY INC

Field Data
EIN 45-4111369
Case Number EO-2016041-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACK 2 BASICS ACADEMY INC
Organization’s Mailing Address 1245 ADEE AVENUE
City BRONX
State NY
ZIP 10469-5148
Accounting period End 12
Primary contact name FREDERICK E DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERMAINE LLOYD
DIRECTOR - EXECUTIVE DIRECTOR
1245 ADEE AVENUE 2A
BRONX NY 10469-5148

Officer/Director/Trustee Two

MATTHEW LEE
DIRECTOR
1245 ADEE AVENUE 2A
BRONX NY 10469-5148

Officer/Director/Trustee Three

GIL LEON
DIRECTOR - PROGRAM DIRECTOR
1245 ADEE AVENUE 2A
BRONX NY 10469-5148

Officer/Director/Trustee Four

FREDERICK DAVIS
DIRECTOR - TREASURER
1245 ADEE AVENUE 2A
BRONX NY 10469-5148

Officer/Director/Trustee Five

JEAN AVEBE
DIRECTOR - FINANCE
1245 ADEE AVENUE 2A
BRONX NY 10469-5148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2012
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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