FORM 1023-EZ for BORN 2 SERVE INC

Field Data
EIN 85-2891997
Case Number EO-2020265-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORN 2 SERVE INC
Organization’s Mailing Address 151 BROMPTON RD
City GARDEN CITY
State NY
ZIP 11530
Accounting period End 12
Primary contact name CHAPIN FAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRED GALVIN
DIRECTOR
160 PILOKEA LANE
HONOLULU HI 96818

Officer/Director/Trustee Two

WAYNE CLARK
DIRECTOR
319 GRANDVIEW DRIVE
SNEADS FERRY NC 28460

Officer/Director/Trustee Three

DAN SCHWARTZ
DIRECTOR
165 EAST 32ND STREET 17G
NEW YORK NY 10016

Officer/Director/Trustee Four

CHAPIN FAY
OFFICER
151 BROMPTON RD
GARDEN CITY NY 11530

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 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 CHAPIN FAY
Signature Title OFFICER
Signature Date 9/17/2020

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