FORM 1023-EZ for PULL UP PARK JAM INC

Field Data
EIN 30-0745794
Case Number EO-2015338-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PULL UP PARK JAM INC
Organization’s Mailing Address 684 EAST 21ST STREET APT1
City BROOKLYN
State NY
ZIP 11226-7503
Accounting period End 12
Primary contact name KEITH FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH FIELDS
CHAIR/PRESIDENT
684 EAST 21ST STREET APT 1
BROOKLYN NY 11226-7503

Officer/Director/Trustee Two

EMMANUEL PETTIGREW
TREASURER
3310 NOSTRAND AVENUE APT 106
BROOKLYN NY 11220

Officer/Director/Trustee Three

RAYMOND FUNN
VICE CHAIR/VICE PRESIDENT
5106 TILDEN AVENUE
BROOKLYN NY 11203

Officer/Director/Trustee Four

SHAUNDA ROBERSON
SECRETARY
639 MCDONOUGH STREET
BROOKLYN NY 11233

Officer/Director/Trustee Five

RODNEY HARRISON
DIRECTOR OF OPERATIONS
67-48 136TH STREET
FLUSHING NY 11367

Organization’s website WWW.PUPJ.ORG
Organization’s email PULLUPPARKJAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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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