FORM 1023-EZ for THE GENESIS PROGRAM

Field Data
EIN 84-2063502
Case Number EO-2019176-000625
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GENESIS PROGRAM
Organization’s Mailing Address 1218 BIRCH STREET
City UNIONDALE
State NY
ZIP 11553
Accounting period End 12
Primary contact name JAMES OCKIMEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES OCKIMEY
PRESIDENT
1218 BIRCH STREET
UNIONDALE NY 11553

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 JAMES OCKIMEY
Signature Title PRESIDENT
Signature Date 6/23/19

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