FORM 1023-EZ for VBCC YOUTH LEADERSHIP AMBASSADOR PROGRAM INC

Field Data
EIN 84-4164676
Case Number EO-2020013-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VBCC YOUTH LEADERSHIP AMBASSADOR PROGRAM INC
Organization’s Mailing Address 1550 HENDRICKSON STREET
City BROOKLYN
State NY
ZIP 11234-3514
Accounting period End 12
Primary contact name GREG AUTERI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAYNE DAVIS
DIRECTOR
1550 HENDRICKSON STREET
BROOKLYN NY 11234-3514

Officer/Director/Trustee Two

ELRITA FOWLER
DIRECTOR
224 BROOKLYN AVENUE
BROOKLYN NY 11213-2505

Officer/Director/Trustee Three

MANISIE MENDONCA
DIRECTOR
132-11 111TH AVENUE
SOUTH OZONE PARK NY 11420-1704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 DWAYNE DAVIS
Signature Title DIRECTOR
Signature Date 1/9/2020

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