| Field | Data |
|---|---|
| EIN | 90-0770460 |
| Case Number | EO-2021252-000530 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FAMILY AND COMMUNITY MULTISERVICE AGENCY INC |
| Organization’s Mailing Address | 970 WILLIAMS AVENUE SUITE 3D |
| City | BROOKLYN |
| State | NY |
| ZIP | 11207 |
| Accounting period End | 12 |
| Primary contact name | AMANDA DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
AMANDA DAVIS
PRESIDENT
970 WILLIAMS AVENUE APT 3D
BROOKLYN NY 11207
ANGELA CHANG
VICE PRESIDENT
77 NEW AVENUE
WYANDANCH NY 11798
JACQUELINE GREEN
TREASURER
359 QUINCY STREET 3RD FLOOR
BROOKLYN NY 11216
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/7/2011 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | AMANDA DAVIS |
| Signature Title | PRESIDENT |
| Signature Date | 7/18/2021 |
| EIN | 90-0770460 |
| Case Number | EO-2014297-000173 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FAMILY AND COMMUNITY MULTISERVICE AGENCY INC |
| Organization’s Mailing Address | 970 WILLIAMS AVENUE SUITE 3D |
| City | BROOKLYN |
| State | NY |
| ZIP | 11207 |
| Accounting period End | 12 |
| Primary contact name | AMANDA V DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
AMANDA V DAVIS LCSW
PRESIDENT
970 WILLIAMS AVENUE SUITE 3D
BROOKLYN NY 11207
ANGELA CHANG PHD
VICE-PRESIDENT
77 NEW AVENUE
WYANDANCH NY 11798
JACQUELINE F GREEN DDS
TREASURER
25 LEFFERTS AVENUE APT 3
BROOKLYN NY 11225
KAYMARA GAYLE LCSW
SECRETARY
263 LINWOOD STREET
BROOKLYN NY 11208
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/7/2011 |
| 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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