FORM 1023-EZ for HARBOR GREEN ENTERPRISE

Field Data
EIN 85-4017938
Case Number EO-2021078-001138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARBOR GREEN ENTERPRISE
Organization’s Mailing Address PO BOX 582
City OYSTER BAY
State NY
ZIP 11771
Accounting period End 12
Primary contact name JHANIN OLAVARRIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JHANIN OLAVARRIA
PRESIDENT
2 CARLS HILL ROAD
OYSTER BAY NY 11771

Officer/Director/Trustee Two

CARLY NELSON
VICE PRESIDENT
2789 RITA COURT
BELLMORE NY 11710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2020
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 Yes
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 JHANIN OLAVARRIA
Signature Title PRESIDENT
Signature Date 1/22/2021

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