FORM 1023-EZ for CAMPING4WORDS

Field Data
EIN 47-3308554
Case Number EO-2016095-000489
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMPING4WORDS
Organization’s Mailing Address 38-11 DITMARS BOULEVARD 898
City ASTORIA
State NY
ZIP 11105
Accounting period End 1
Primary contact name MELISSA MEDINA DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA MEDINA
DIRECTOR
2250 43RD STREET
ASTORIA NY 11105

Officer/Director/Trustee Two

JESSICA MEDINA
SECRETARY
637 EAST OAK STREET
SEYMOUR IN 47274

Officer/Director/Trustee Three

LISA RIOS
TREASURER
171 MALTA STREET
BROOKLYN NY 11207

Organization’s website CAMPING4WORDS.ORG
Organization’s email CAMPING4WORDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2016
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 Yes
Donation of funds Yes
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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