FORM 1023-EZ for YOUNG ADULT ROLE MODEL ACADEMY LLC

Field Data
EIN 47-2988977
Case Number EO-2020232-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUNG ADULT ROLE MODEL ACADEMY LLC
Organization’s Mailing Address 140 LITTLETON ROAD SUITE 101
City PARSIPPANY
State NJ
ZIP 07054
Accounting period End 12
Primary contact name MARLENY CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLENY CRUZ
PRESIDENT
140 LITTLETON ROAD SUITE 101
PARSIPPANY NJ 07054

Officer/Director/Trustee Two

PAULA GARCIA
SECRETARY
78-47 85TH ST GLENDALE
QUEENS NY 11385

Officer/Director/Trustee Three

ANGELICA CRUZ
TREASURER
34025 LINDEN PLACE
FLUSHING QUEENS NY 11354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 MARLENY CRUZ
Signature Title PRESIDENT
Signature Date 8/17/2020
EIN 47-2988977
Case Number EO-2015106-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 17 JAMES ST
Organization’s Mailing Address SUITE 8
City BLOOMFIELD
State NJ
ZIP 07003
Accounting period End 12
Primary contact name MARLENY CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARLENY CRUZ
CEO BOARD MEMBER
21-20 34TH AVE APT 2F
ASTORIA NY 11106

Officer/Director/Trustee Two

ANGELICA CRUZ
BOARD MEMBER
34-25 LINDEN PLACE APT 3G
FLUSHING NY 11354

Officer/Director/Trustee Three

PAULA GARCIA
BOARD MEMBER
7847 85TH ST APT 1
GLENDALE NY 11385

Organization’s website WWW.YOUNGROLEMODEL.ORG
Organization’s email THEYOUNGROLEMODEL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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