FORM 1023-EZ for PRISCILLA JAMES FOUNDATION INC

Field Data
EIN 47-3596214
Case Number EO-2018277-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRISCILLA JAMES FOUNDATION INC
Organization’s Mailing Address 258 CONKLIN AVE
City BROOKLYN
State NY
ZIP 11236
Accounting period End 12
Primary contact name SIMS PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIM PETERS
PRESIDENT
258 CONKLIN AVE
BROOKLYN NY 11236

Officer/Director/Trustee Two

GLENROY WASON
TREASURER
258 CONKLIN AVE
BROOKLYN NY 11236

Officer/Director/Trustee Three

CAMILLE PETERS REFFELL
VICE PRESIDENT
52 LEWIS AVE
HEMPSTEAD NY 11550

Officer/Director/Trustee Four

ANDREA COOMBS
SECRETARY
740 LINCOLN AVE
BROOKLYN NY 11208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/15
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SIM PETERS
Signature Title PRESIDENT
Signature Date 10/2/18

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