FORM 1023-EZ for NEW YORK CITY MENNONITE SERVICES INC

Field Data
EIN 83-1071292
Case Number EO-2018183-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW YORK CITY MENNONITE SERVICES INC
Organization’s Mailing Address 23 MARCUS GARVEY BVD
City BROOKLYN
State NY
ZIP 11206
Accounting period End 12
Primary contact name JAY KAUFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA PEREZ
CHAIR
23 MARCUS GARVEY BVD
BROOKLYN NY 11206

Officer/Director/Trustee Two

KEN BONTRAGER
VICE CHAIR
23 MARCUS GARVEY BVD
BROOKLYN NY 11206

Officer/Director/Trustee Three

SYLVIA SHIRK
SECRETARY
23 MARCUS GARVEY BVD
BROOKLYN NY 11206

Officer/Director/Trustee Four

CELSO JAIME
TREASURER
23 MARCUS GARVEY BVD
BROOKLYN NY 11206

Officer/Director/Trustee Five

JAY KAUFFMAN
OFFICER OF ORGANIZATIONAL DEVELOPME
4631 PINE ST E305
PHILADELPHIA PA 19143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JAY KAUFFMAN
Signature Title OFFICER OF ORGANIZATIONAL DEVELOPME
Signature Date 6/29/18

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