FORM 1023-EZ for CARNEGIE HILL VILLAGE

Field Data
EIN 82-1189825
Case Number EO-2017170-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARNEGIE HILL VILLAGE
Organization’s Mailing Address 115 EAST 87TH STREET
City NEW YORK
State NY
ZIP 10128
Accounting period End 12
Primary contact name HENRY CONLEY DIRECTOR AND VP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GILDA WRAY
DIRECTOR AND PRESIDENT
47 EAST 88TH STREET
NEW YORK NY 10128

Officer/Director/Trustee Two

ROBERTA KRAKOFF
DIRECTOR AND SECRETARY
70 EAST 96TH STREET
NEW YORK NY 10128

Officer/Director/Trustee Three

ALDEN PROUTY
DIRECTOR AND TREASURER
12 EAST 97TH STREET
NEW YORK NY 10029

Officer/Director/Trustee Four

HENRY CONLEY
DIRECTOR AND VICE PRESIDENT
115 EAST 87TH STREET
NEW YORK NY 10128

Officer/Director/Trustee Five

THOMAS O CONNOR
DIRECTOR
12 EAST 97TH STREET
NEW YORK NY 10029

Organization’s website CARNEGIEHILLVILLAGE.ORG
Organization’s email CHV10128@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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
Signature Title
Signature Date

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