FORM 1023-EZ for THE JR FORBES FOUNDATION INC

Field Data
EIN 85-2142883
Case Number EO-2021146-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JR FORBES FOUNDATION INC
Organization’s Mailing Address 118 SOUTH 8TH AVENUE
City MOUNT VERNON
State NY
ZIP 10550
Accounting period End 12
Primary contact name DERRICK SHIPPY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANAKAY IRVING
PRESIDENT&TRUSTEE&DIRECT
118 SOUTH 8TH AVENUE
MOUNT VERNON NY 10550

Officer/Director/Trustee Two

HERMAN DAWKINS
VP&TREASURER&DIRECTOR
2242 LACOMBE AVENUE
BRONX NY 10473

Officer/Director/Trustee Three

DELROY WALTERS
DIRECTOR
270 LENOX ROAD
BROOKLYN NY 11226

Officer/Director/Trustee Four

DAJAHN CARTER
SECRETARY
53 PASSAIC AVE
WOODLAND PARK NJ 07424

Organization’s website WWW.THEJRFORBESINC.ORG
Organization’s email HOPELIVES@THEJRFORBESINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, 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 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 Yes
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 SHANAKAY IRVING
Signature Title PRESIDENT&TRUSTEE&DIRECT
Signature Date 5/24/2021

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