FORM 1023-EZ for SICKLE CELL INITIATIVE INC

Field Data
EIN 47-3936289
Case Number EO-2015174-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SICKLE CELL INITIATIVE INC
Organization’s Mailing Address 255 NORTH AVE 24
City NEW ROCHELLE
State NY
ZIP 10465-2732
Accounting period End 12
Primary contact name BRUCE BLOUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE BLOUNT
PRESIDENT/CEO
2830 SCHLEY AVE
BRONX NY 10465-2732

Officer/Director/Trustee Two

CARLA VICTORIA BRONX
VICE PRESIDENT
3 GARRAGHAN DRIVE 1302
KINGSTON NY 12401

Officer/Director/Trustee Three

DAWN O DONNELL
SECRETARY
4138 CARPENTER AVE 3D
BRONX NY 10466

Officer/Director/Trustee Four

DELBRA ALEXANDER
TREASURER
80 HILLTOP AVE
BRONX NY 10801

Officer/Director/Trustee Five

STEPHEN BLOUNT
TRUSTEE
2830 SCHLEY AVE 5A
BRONX NY 10465-2732

Organization’s website SICKLECELLINITIATIVE.ORG
Organization’s email INFO@SICKLECELLINITIATIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
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: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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