FORM 1023-EZ for INWOOD 5K RUN

Field Data
EIN 83-3576324
Case Number EO-2019150-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INWOOD 5K RUN
Organization’s Mailing Address 430 C DOUGHTY BLVD
City INWOOD
State NY
ZIP 11096-1363
Accounting period End 12
Primary contact name BYRON JARRIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BYRON JARRIN
PRESIDENT
34 CAIL DRIVE
EAST ROCKAWAY NY 11518-2106

Officer/Director/Trustee Two

LURDEZ BERRIOS
VICE PRESIDENT
34 CAIL DRIVE
EAST ROCKAWAY NY 11518-2106

Officer/Director/Trustee Three

KRUPESH PATEL
SECRETARY
23 GALE DRIVE
VALLEY STREAM NY 11581-3622

Organization’s website
Organization’s email INFO@5TOWNSCROSSFIT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 BYRON JARRIN
Signature Title PRESIDENT
Signature Date 5/25/19

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