FORM 1023-EZ for NEW YORK YOUTH CLUB INTERNATIONAL INC

Field Data
EIN 81-5398952
Case Number EO-2017132-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW YORK YOUTH CLUB INTERNATIONAL INC
Organization’s Mailing Address 341 HEMPSTEAD GARDENS DR
City WEST HEMPSTEAD
State NY
ZIP 11552
Accounting period End 12
Primary contact name JAMAINNE C HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMAINNE HALL
DIRECTOR
341 HEMPSTEAD GARDENS DR
WEST HEMPSTEAD NY 11552

Officer/Director/Trustee Two

ROBERT BLACKWOOD
DIRECTOR
30 PEARL STREET FLOOR 2
MT VERNON NY 10550

Officer/Director/Trustee Three

LANCE FRANCIS
DIRECTOR
929 EAST 219TH STREET
BRONX NY 10469

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2017
Organization Incorporation State NY
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 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
Signature Title
Signature Date

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