FORM 1023-EZ for JANICE BLAIR WHALEN CHILDREN FOR LIFE FOUNDATION INC

Field Data
EIN 83-1750177
Case Number EO-2019123-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JANICE BLAIR WHALEN CHILDREN FOR LIFE FOUNDATION INC
Organization’s Mailing Address PO BOX 2677
City AMAGANSETT
State NY
ZIP 11930
Accounting period End 12
Primary contact name RICHARD WHALEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD WHALEN
PRESIDENT
217 TOWN LANE
AMAGANSETT NY 11930

Officer/Director/Trustee Two

ANDREW STRONG
DIRECTOR
599 SPRINGS FIREPLACE ROAD
EAST HAMPTON NY 11937

Officer/Director/Trustee Three

KIMBERLY OVANDO
SECRETARY
11 PRIVATE ROAD
MONTAUK NY 11954

Officer/Director/Trustee Four

JASMIN CHOTAN-BROWN
DIRECTOR
41B OAK LANE
AMAGANSETT NY 11930

Officer/Director/Trustee Five

TANIA SIDDO
DIRECTOR
8525 WYNGATE MANOR COURT
ALEXANDRIA VA 22309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD WHALEN
Signature Title PRESIDENT
Signature Date 4/30/19

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