FORM 1023-EZ for FRIENDS OF THE CHAMP INC

Field Data
EIN 84-4083754
Case Number EO-2021147-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF THE CHAMP INC
Organization’s Mailing Address 1472 MONTGOMERY AVENUE APT 2D
City BRONX
State NY
ZIP 10453
Accounting period End 12
Primary contact name JOHN DECOLATOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM BARKLEY
DIRECTOR
1472 MONTGOMERY AVENUE APT 2D
BRONX NY 10453

Officer/Director/Trustee Two

MICHAEL BERNARD
DIRECTOR VICE PRESIDENT
3287 POLO PLACE
BRONX NY 10465

Officer/Director/Trustee Three

RAYMOND PURSELL
DIRECTOR
501 CHRISTOPHER AVENUE
BROOKLYN NY 11212

Officer/Director/Trustee Four

JOHN DECOLATOR
TREASURER DIRECTOR
1472 MONTGOMERY AVENUE APT 2D
BRONX NY 10453

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 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 JOHN DECOLATOR
Signature Title TREASURER DIRECTOR
Signature Date 5/25/2021

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