FORM 1023-EZ for TRIUMPHANT STAR CIVIC CENTER INCORPORATED

Field Data
EIN 47-5431374
Case Number EO-2015313-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRIUMPHANT STAR CIVIC CENTER INCORPORATED
Organization’s Mailing Address 1605 NOSTRAND AVE 1ST FL
City BROOKLYN
State NY
ZIP 11226
Accounting period End 12
Primary contact name JEAN JOSEPH CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID RODRIGUEZ
EXECUTIVE DIRECTOR
1605 NOSTRAND AVE 2ND FL
BROOKLYN NY 11226

Officer/Director/Trustee Two

KEVIN COOPER
TREASURER
1601 NOSTRAND AVE NO 3
BROOKLYN NY 11226

Officer/Director/Trustee Three

AKIL MITCHELL
SECRETARY
450 E 34 STREET APT 2H
BROOKLYN NY 11203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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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