FORM 1023-EZ for BELMONT PATRIOTS INC

Field Data
EIN 82-2821984
Case Number EO-2018067-000018
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELMONT PATRIOTS INC
Organization’s Mailing Address 962 PARK PLACE
City BROOKLYN
State NY
ZIP 11213
Accounting period End 12
Primary contact name MALCOLM JACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN MANNAN
CHAIRWOMAN
8901 WADFORD LANE 103
RALEIGH NC 27616

Officer/Director/Trustee Two

MECHELE FLAVIUS
VICE CHAIRWOMAN
116-30 155 STREET
JAMAICA NY 11434

Officer/Director/Trustee Three

JENNIFER DACON
SECRETARY
45 OCEAN AVENUE APT 1A
BROOKLYN NY 11225

Officer/Director/Trustee Four

MARCIA COWIE
ASSISTANT SECRETARY
1973 ROCKAWAY PARKWAY
BROOKLYN NY 11236

Officer/Director/Trustee Five

MALCOLM JACK
TREASURER
962 PARK PLACE
BROOKLYN NY 11213

Organization’s website
Organization’s email MALCOLMWJACK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual 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 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 MALCOLM JACK
Signature Title TREASURER
Signature Date 3/6/18

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