FORM 1023-EZ for THE NEW YORK CHAPTER OF AFCC

Field Data
EIN 20-0212909
Case Number EO-2014267-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NEW YORK CHAPTER OF AFCC
Organization’s Mailing Address 1010 NORTHERN BOULEVARD SUITE 320
City GREAT NECK
State NY
ZIP 11201
Accounting period End 12
Primary contact name TERESA OMBRES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANE PEARL
CO-PRESIDENT
23 PARK AVENUE
NEW YORK NY 10016

Officer/Director/Trustee Two

KAREN ROSENTHAL
CO-PRESIDENT
750 COLUMBUS AVENUE 4G
NEW YORK NY 10025

Officer/Director/Trustee Three

TERESA OMBRES
TREASURER
5810 BARNEGAT AVENUE
LONG BCH TWP NJ 08008

Officer/Director/Trustee Four

DANIEL KREMIN
VICE PRESIDENT
1476 LUDDINGTON ROAD
EAST MEADOW NY 11554

Officer/Director/Trustee Five

ROBIN CARTON
SECRETARY
150 GRAND STREET STE 305
WHITE PLAINS NY 10601

Organization’s website WWW.AFCCNY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2003
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I51 - Dispute Resolution, Mediation Services
Organization’s purpose Charitable: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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