FORM 1023-EZ for PERRY BLAIR CONSULTING INC

Field Data
EIN 47-5589925
Case Number EO-2019343-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERRY BLAIR CONSULTING INC
Organization’s Mailing Address 102 WEST 80TH STREET NO 51
City NEW YORK
State NY
ZIP 10024
Accounting period End 6
Primary contact name KIM FONTAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM FONTAINE
CHAIRPERSON
10
NEW YORK NY 10024

Officer/Director/Trustee Two

ANDREA BRUNO
VICE PRESIDENT
312 WEST 23RD STREET
NEW YORK NY 10011

Officer/Director/Trustee Three

KRISTEN MEHR
VICE CHAIRPERSON
3310 OVERLAND DRIVE
ROSWELL GA 30075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIM FONTAINE
Signature Title CHAIRPERSON
Signature Date 12/5/2019

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