FORM 1023-EZ for STATEN ISLAND URBAN CENTER

Field Data
EIN 37-1833463
Case Number EO-2016239-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STATEN ISLAND URBAN CENTER
Organization’s Mailing Address 35 TAFT AVE
City STATEN ISLAND
State NY
ZIP 10301
Accounting period End 12
Primary contact name KELLY VILAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY VILAR
PRESIDENT, DIRECTOR
35 TAFT AVE
STATEN ISLAND NY 10301-1401

Officer/Director/Trustee Two

DEBORAH QUINONES
CHAIR, DIRECTOR
1 SYLVAN COURT
NEW YORK NY 10035-3528

Officer/Director/Trustee Three

REBECCA SAMUELS
SECRETARY, DIRECTOR
50 FORT PLACE APT B1E
STATEN ISLAND NY 10301-2418

Officer/Director/Trustee Four

DAWN RANNIE-WHITE
TREASURER,DIRECTOR
24 SOUTH MCKINLEY AVE
ISELIN NJ 08830-2429

Officer/Director/Trustee Five

LESLIE COLON
VICE CHAIR, DIRECTOR
2086 2ND AVE APT 5C
NEW YORK NY 10029

Organization’s website
Organization’s email SIURBANCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 Yes
One Third Support Gifts No
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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