FORM 1023-EZ for D3 SPORTS RECREATION INC

Field Data
EIN 47-4076438
Case Number EO-2015253-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name D3 SPORTS RECREATION INC
Organization’s Mailing Address 741 SAINT ANNS AVE APT A
City BRONX
State NY
ZIP 10456
Accounting period End 12
Primary contact name LIZETTE HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LIZETTE HERNANDEZ
PRESIDENT
741 SAINT ANNS AVE APT A
BRONX NY 10456

Officer/Director/Trustee Two

FELIX HERNANDEZ
VICE PRESIDENT
741 SAINT ANNS AVE APT A
BRONX NY 10456

Officer/Director/Trustee Three

SHELINDA RODRIGUEZ
SECRETARY
240 PENNYFIELD AVE 1ST FLR
BRONX NY 10465

Officer/Director/Trustee Four

EDWARD VALENTIN
TREASURER
14 METROPOLITAN OVAL APT 12E
BRONX NY 10462

Officer/Director/Trustee Five

DALILAH SMITH-SANTOS
ASSISTANT SECRETARY
1655 UNDERCLIFF AVE
BRONX NY 10453

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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
Signature Title
Signature Date

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