FORM 1023-EZ for FORM FOCUSED OPERATION REDEFINE MASCULINITY

Field Data
EIN 83-3981830
Case Number EO-2020160-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORM FOCUSED OPERATION REDEFINE MASCULINITY
Organization’s Mailing Address 55 E 21ST
City BROOKLYN
State NY
ZIP 11226
Accounting period End 12
Primary contact name DORNELL ROWLF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORNELL ROWLF
EXECUTIVE DIRECTOR
55 E 21ST ST
BROOKLYN NY 11226

Officer/Director/Trustee Two

AUDRIA ROWLF
BOARD MEMBER
9826 PENELA WAY
ELK GROVE CA 95757

Officer/Director/Trustee Three

DAVION REYNOLDS
BOARD MEMBER
1371 HARWICK STREET
PALM BAY FL 32908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 DORNELL ROWLF
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/4/2020

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