FORM 1023-EZ for BROOKLYN BORN INC

Field Data
EIN 86-3384761
Case Number EO-2021196-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKLYN BORN INC
Organization’s Mailing Address 65 BAY STREET APT 3303
City JERSEY CITY
State NJ
ZIP 07302
Accounting period End 12
Primary contact name JEROME MACK JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEROME MACK JR
PRESIDENT & TREASURER
65 BAY STREET APT 3303
JERSEY CITY NJ 07302

Officer/Director/Trustee Two

SHAWINKA TAYLOR
SECRETARY & DIRECTOR
65 BAY STREET APT 3303
JERSEY CITY NJ 07302

Officer/Director/Trustee Three

ADDIE REED
DIRECTOR & OFFICER
65 BAY STREET APT 3303
JERSEY CITY NJ 07302

Organization’s website WWW.BROOKLYNBORNINC.ORG
Organization’s email JEROME@BROOKLYNBORNINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 JEROME MACK JR
Signature Title PRESIDENT & TREASURER
Signature Date 7/13/2021

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