FORM 1023-EZ for CROWNED OFFICIALLY INCORPORATED

Field Data
EIN 81-3234715
Case Number EO-2016201-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROWNED OFFICIALLY INCORPORATED
Organization’s Mailing Address 967 EAST 43RD ST
City BROOKLYN
State NY
ZIP 11210-3523
Accounting period End 12
Primary contact name SHEREE JEANES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY LAROCHE
EXECUTIVE DIRECTOR
967 EAST 43RD ST
BROOKLYN NY 11210-3523

Officer/Director/Trustee Two

SHEREE JEANES
OFFICER
27 PRESIDENT ST
HUNTINGTON STATION NY 11746-2396

Officer/Director/Trustee Three

SHAKIR HANCOCK-PATTERSON
OFFICER
100 BAINBRIDGE ST
BROOKLYN NY 11233-1702

Organization’s website HTTP://OFFICIALLYCROWNED.ORG/
Organization’s email INFO.CROWNED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
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: 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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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