FORM 1023-EZ for ORIGINS PARTNERSHIP

Field Data
EIN 46-5653493
Case Number EO-2015069-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORIGINS PARTNERSHIP
Organization’s Mailing Address 30 SEMINARY DR
City BARRYTOWN
State NY
ZIP 12507
Accounting period End 12
Primary contact name MARK ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK BOITANO
CHAIRMAN OF THE BOARD
3615 HORATIO COURT NE
ALBUQUERQUE NM 87111

Officer/Director/Trustee Two

HENRI SCHAUFFLER
EXECUTIVE DIRECTOR
12419 STARLIGHT LANE
BOWIE MD 20715

Officer/Director/Trustee Three

DANSO SAWAMUKAI
VICE CHAIRMAN
5 DANIELS PLACE
WHITE PLAINS NY 10604

Officer/Director/Trustee Four

JOHN REDMOND
SECRETARY
235 W MARKET STREET
RED HOOK NY 12571

Officer/Director/Trustee Five

MARK ANDERSON
BOARD MEMBER
447 W SUNSET CIRCLE
MESA AZ 85201

Organization’s website WWW.ORIGINSPARTNERSHIP.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 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 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
Signature Title
Signature Date

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