FORM 1023-EZ for ALI ADAPTIVE SPORTS AND FITNESS
| Field | Data |
|---|---|
| EIN | 81-4781984 |
| Case Number | EO-2020246-000348 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ALI ADAPTIVE SPORTS AND FITNESS |
| Organization’s Mailing Address | 126 SHAWANGA LODGE ROAD |
| City | BLOOMINGBURG |
| State | NY |
| ZIP | 12721 |
| Accounting period End | 12 |
| Primary contact name | FAIZOOL ALI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRIS HEWITT
CHAIR
73 SAGES LOOP ROAD
KERHONKSON NY 12721
Officer/Director/Trustee Two
CHRIS NOEL
VICE CHAIR
2034 7TH AVENUE APARTMENT 2E
NEW YORK NY 10027
Officer/Director/Trustee Three
ADAM LAKE
TREASURER
PO BOX 261
CIRCLEVILLE NY 10919
Officer/Director/Trustee Four
LORENE LAMBOY
SECRETARY
4 AYR ROAD
CHESTER NY 10918
Officer/Director/Trustee Five
FAIZOOL ALI
EXECUTIVE DIRECTOR
126 SHAWANGA LODGE ROAD
BLOOMINGBURG NY 12721
| Organization’s website | WWW.ALIADAPTIVE.COM |
|---|---|
| Organization’s email | WWW.ALIADAPTIVESPORTS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/1/2017 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | FAIZOOL ALI |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 8/31/2020 |
| EIN | 81-4781984 |
| Case Number | EO-2019238-000292 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ALI ADAPTIVE SPORTS AND FITNESS |
| Organization’s Mailing Address | 126 SHAWANGA LODGE ROAD |
| City | BLOOMINGBURG |
| State | NY |
| ZIP | 12721 |
| Accounting period End | 12 |
| Primary contact name | FAIZOOL ALI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRIS HEWITT
CHAIR
73 SAGES LOOP ROAD
KERHONKSON NY 12721
Officer/Director/Trustee Two
CHRIS NOEL
VICE CHAIR
2034 7TH AVENUE APARTMENT 2E
NEW YORK NY 10027
Officer/Director/Trustee Three
ADAM LAKE
TREASURER
PO BOX 261
CIRCLEVILLE NY 10919
Officer/Director/Trustee Four
LORENE LAMBOY
SECRETARY
4 AYR ROAD
CHESTER NY 10918
Officer/Director/Trustee Five
FAIZOOL ALI
EXECUTIVE DIRECTOR
126 SHAWANGA LODGE ROAD
BLOOMINGBURG NY 12721
| Organization’s website | WWW.ALIADAPTIVE.COM |
|---|---|
| Organization’s email | WWW.ALIADAPTIVESPORTS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/1/17 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| 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 | 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 | FAIZOOL ALI |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 8/21/19 |
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